34556 ADVANCED TURF SOLUTIONS CIty ® C.Irmel INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT a3 's (cj
35-60000972
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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CONFIRMATION BLANKET ONTRACTPAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
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DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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• 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 UNO: (GATED BALANCE IN
SHIPPING INSTRUCTIONS THIS APPROPRIAyON SUFFICIENT TO PAY OR T.E ABOVE ORDER.
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• SHIP PREPAID.
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY in'
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL •�
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SHIPPING LABELS. Nf
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE _ �, t 674C/
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
)OCUMENT CONTROL NO. 3 4 5 5 6 Nlvt