32360 ALI/CLECity of CC mmme1
bepl• of
ONE CIVIC SQUARE
• CARMEL, INDIANA 46032 -2584
FORM APPROVED 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
3a3(po
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
10lzlly
Aniett
VENDOR yoa5 S+ree+
Pl;ilacl- elph'icc., PA Igl01-1-3Q j
SHIP
TO
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To:
�i p�,s►ra+ian -Foy
Atbrai, hoo9Ias C. NG,vq -ft alitond
.e n i- om a-c ri
e()blq -t cake_
PLEASE INVOICE IN DUPLICATE
1,18"9.30
DEPARTMENT
- -ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Lao 1lgd
4135 -7Q0L/
Ln5-Kvrhon &l Cee5
SHIPPING INSTRUCTIONS •
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �\
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 I �� • r I U' \/
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE ✓� n
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.
▪ HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
DOCUMENT CONTROL NO. 32360
CLERK - TREASURER
OFFICE COPY