24667 City of Carmel •
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City of Carmel INDIANA RETAIL TAX EXEMPT
PAGE
CERTIFICATE NO.003120155 002 0 / ,t) i
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT I/ 1,100 V1
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AlP
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CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO. PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO VENDOR NO, DESCRIPTION
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VENDOR 1 SHIP ON94. L.
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O .9 OF .,elik KE-L TO tA 0,to L 44-E
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„„,, ,.,AnotJ BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE! DESCRIPTION UNIT PRICE I. EXTENSION
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Send Invoice To: 1\(Zvii: F.;of . ai--)A1,..5171.talgT7
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PLEASE INVOICE IN DUPLICATE
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DEPARTMENT J ACCOUNT — L —PROJECT r PROJECT ACCOUNT AWUNT
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eA.WEL F-I-Tha b,.....„ NEiz-nNIE PAYMENT 1,4 lesi,, ,O,o6. 00
• AiP 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,
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE iS AN UNOBLIGATED BA OE 11.., —
THIS A 40PRIATION A CI;CIENT TO PAY FOR TH , C,
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•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
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•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY -
SHIPPING LABELS,
I •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,AC]S 1945 TITLE _ Are.. 1/0_,6vi,DIA 'IAA •
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. K...)
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(.,.. ,,,. ..,, „,, , CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY