32627 City of CarmelCity of Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO, 003120155 002 0
- I'FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE f r
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAGE
PURCHASE ORDER NUMBER
32(02R-
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
IT in -IIL1
VENDOR -01-17 of eo -rmet
SHIP
TO
En5ir,ee
r-s3
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To:
C- n_tneerin3
PLEASE INVOICE IN DUPLICATE
0147 .Engineer's othce
,0the� COn?rc&cte CI
SerJ I c e s
41 (, 8,20g.61
2200 - y3509 00
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO..
DOCUMENT CONTROL NO. 32627
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 CERT THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP-IATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.