32303 United States Postal Service INDIANA RETAIL TAX EXEMPT PAGE
C i ®f C 2trtne l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT ✓1 303
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
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
P06-1---
,t,,,, ttteti (6---etA-6 To*e 2,r\ft(e_
VENDOR SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
a-T etd--,,,v, llll....///IVVVV
1
. -I- 40r-
,00-1
s ........--....-.7!.. \\*,.
0A--i.
it/(?„ .,,.. .
4 if ,....A
, : ii,
:®
. , ,8 4,e,....e. viiik,
4
I. .
i 8 i til °
'4 i * )%1 ,
,,,,,,,,4,1/4 . `. �, °•q;..
.......ks_ ,,z,,,3. . L., • ... ti ,
s-:".""'- 20 ��, .•,
_ , .
Send Invoice To:
\lb k *304)ID faOD-_-___
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPR ` I,� I u N• FFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. I• I 0
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO.