31908 City of Carmel00•ty of Carmel
pe.r
Ic (CR ( 1
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
"` :FbERAL EXCISE TAX EXEMPT
35- 60000972 �-
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584 Y'
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAGE. •
PURCHASE ORDER NUMBER
31g o9
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
1a-11-9--1 1 T
...�
I
VENDOR
C1 +y of Co.a.me 1
SHIP
TO
Eno ineeir ;r9
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
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 TN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 31908
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 CERTI THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI ON SUFFICIENT TO PAY FOfi THE ABOVE ORDER.