24667 Carmel Fire Department •
City a INDIANA RETAIL TAX EXEMPT PAGE / I
of Or(/l' l CERTIFICATE NO.003120155 002 0
PURCHASE ORDER 2 .
R NUMBER
FEDERAL EXCISE TAX EXEMPT /,,,0 VI
35-60000972 > L+ �F' + _.I
1
ONE CIVIC SQUARE -•---••--•------ --__............._...._......................_......,....... ,.._ THIS NUMBER MUST APPEAR CN INVOICES,A/PI
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
M/1"?' 9 )i II 0 ife4ii In e•
•
VENDOR SHIP ( 1 •F �1)"ltiZ� `4/'
0 OF nn,M Ka TO O t �1 6 il-- .E.
1 MEcr, /N 4- an5`�-
-.rN ie,I, ;;N BLANKET 1 CONTRACT PAYMENT FREIGHT
.........6...».w.j _.._�__., ...___.�.__._..... .._.�.�.-" ._......-,_m EXTE SIGN
QUANTI Y UNIT OF MEASURE kf DESCRIPTION E UNIT PRICE - I„ N
EN01.UMp62 4 /31 ones .Do •
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DIT U 3cile ul V6. 64
•
Send Invoice To: Q, hj t` i �E. F PA ENT--e
�v •i L O-,L1L11. _
CiAAJ
via I KI Dr •�
/ PLEASE INVOICE IN DUPLICATE
DEPARTMENT l ACCOUNT 1_ PROJECT [ PROJECT ACCOUNT I AANUN'i_
e
i rt�_ r- l�r� 6 PAYMENT -46 / 7, ,00d . ou
� �1—� 1 `--'f�'t • • AiP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS TILE F.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 tC.,�
TIiIS A. AOP RIATTON F CIENT TO PAY FOR THE . A. ,,rr77 //
•SHIP REPAID. t_ , ///"' /f f✓�
•COD.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY i._ , �,f�°
•PURCHASE OEICER NUMBED MUST APPEAR ON A].L ,W'- -.-m--.-.,. __..�J`
SHIPPING LABELS. �T e ' 1
• €Files ORDER ISSUED IN COMPLIANCE.WON CHAPTER 95,ACTS 1945 TITLE ___ At 1"0 _ {,.7 .,,.. 1 !`l. „ .
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
C. 5 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY