32306 Frost Brown Todd INDIANA RETAIL TAX EXEMPT PAGE I
City of C a rme 1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 330l
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
te-C-Ari ES
VENDOR
v c� SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
tifyi (Ajra------ 4N bo voD
At
JT -- - , 1
do,1
,i0Tr<:A 0....---4‘:,?. -.4..ri
S/ ./.4s At,.• :r+ „. ,,,,,,,,
40 6: 6,. .
w.,,
•' V't
, : &,
'4 :41 'k:4
!IA . .
,,,.. ,___,
,. , , .
:, ... an, ,
* : 2
11.1/4\
t1/4\ tilit
'40 1 , ga
p(
slillA, ,,\ */2''''*. 4• 'c' 0
u0K C
40
Send Invoice To: r
( 41 -0,106D0
1
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 jNSUFFICPAY IFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APP FOR THE ABOVE ORDER.
•SHIP REPAID. %
•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
I AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 32 3 06 VENDOR COPY