32583 Entercom Indianapolis WZPLof 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
32'58 3
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
1211TJHL
Entry-tom Incbanapols WUTQ- FAA
VENDOR g2-115 N. fyl(ncklan Si-.
_SAT 3co
Inalancteolo, ].t.) 102110
CI Df nu(
SHIP COm DUh I}2� Ret&xionspept
TO
One Gvic Srb
.e&(n)d, 711\1 quo 03?...
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
1-foli(101 rump spots -t0 dna, - froffic, an d
eniouoct ID(&) shopp-ii Is. f1-(+s is-not-
aoci CA-1-16 Conti( - on 1°921
Send Invoice To:
izo3 /1-135Goo3
PLEASE INVOICE IN DUPLICATE
12,'1(0 2. DD
S2, 7 &Z. O0
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.
ORDERED BY
TITLE
3 2 5 8 3 CLERK - TREASURER
DOCUMENT CONTROL NO. 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 CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.