32910 VS Engineeringof 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
zq 10
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDERDATE
DATE REQUIRED •
REQUISITION NO.
VENDOR NO.
DESCRIPTION
_
11/12 tis
.s
. -
VENDOR
\/5. Err3ineerin5 ,Inc•
'71285 North k 9k Sck,00l
%rd'O.'n-po111, IN
U�,zsy
Road
SHIP
TO
pepar+no, en 0+ F"'C9.ir,eerins
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE.
EXTENSION
Send Invoice To:
COcity- aC.-
Project
11.IZ .15.01
15 -110,
Er ,n eer, n9
PLEASE INVOICE IN DUPLICATE
DEPARTMENT
ACCOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PROJECT
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
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. 32910 OFFICE COPY
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.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.