31769 American StructurepointCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FQPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
317/7 -
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
VENDOR At, eri(ah sf u(furep )/l-
72 (0 ShaJe /a4 si -hoh
Tnd And »o'i .14/ L6256
SHIP `R1(
1/ /�
TO 2
4 /�(Il %1 $/7 JLI / /l° 2D
(011ie l_ %✓l/4(8y2_
CONFIRMATION
BLANKET
I CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY I UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
I
Send Invoice To
(R(
30 W Mfiih 5 , JUiIP 22
(&r me /1 DV 1-1-60yz
Arcirfecl ute /eniincrn n9 Mork $24,90
fns tivia1J Trni/ beirkeen flr(els 4od7
ki 5 A (en-f fo Lofts de%!opnr-0-
PLEASE INVOICE IN DUPLICATE
• DEPARTMENT
6702
CO.
EPAID.
• . SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.'
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 - '
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
4g 6.0877
SHIPPING INSTRUCTIONS
DOCUMENT CONTROL NO. 31769
ORDERED BY
,TITLE
•
CLERK - TREASURER
OFFICE COPY
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED,
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION 4Fl d - • PAY FOR THE ABIVE ORDER.