31846 Rundell Ernstberger Associatesof Carmel
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
31 84(0
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
10/IS i 1 4,
VENDOR
RI,Andel! Ernstberc,Gr Associal-tev, L.LC
(p■8 Ear.* N\arket street SHIP
TO
Inc11CLr1C'Lp°Ws, IN 46202_
e
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To:
F ng1rT e eri
PLEASE INVOICE IN DUPLICATE
AsA s 4-
Cor,+Yac+ o9 IS 10.05
LO.nd.scM't`besign
$KvIC ei:
1 <eL1stone Ave/
Ma.r, S-M4et
R our,d a'., out S
NTE:
39, 500
2200— 44 (a 2401
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
ORDERED BY
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 UNOBLIG��-A TED BALANCE IN
THIS APPROPRIATI N•�S`11FFICIENT TO PAY FOR ABOVE ORDER.
DOCUMENT CONTROL NO. 31846 CLERK - TREASURER
OFFICE COPY