31790 Carmel Lofts LLCCi
arrael
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
It INDIANA RETAIL TAX EXEMPT
'CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
31790
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 l & m(I L o-F4s 7 Li
147 3 PennsjIVer�iQ 54. 10* Floor
SHIP (13(
TO
30 w 411) 9 *. 4t 220
ia1Anootis, IN (krmPl, A/ 14 032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY I UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To
CRC
10 t)mSt,S���e2
(nr me \l IN th32
PLEASE INVOICEIN DUPLICATE
sr4 (Ivy-ker. 2014 91krf`9e YcijnWr$eine,4
14 tnn \er fimirnent Fr 2013 1nfoi trs
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
102
414 gq7
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
TITLE
CLERK - TREASURER
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 SUFFICIENT TO PAY FOR THE A
1< l' 1! 1 4 k.
V'
DOCUMENT CONTROL NO. 317 90 - A.P.V. COPY - SIGN AND RETURN TO CLERK'S OFFICE