34559 TEE SNAP INC C0 INDIANA RETAIL TAX EXEMPT rH�t /
ity ofCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT J zisi-rg
35-60000972
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANYCORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
/- I.9-/d 3/i 7'/.5 PCS
1i E .5A.,,�,,��„ Jac = re �i:ee C�/2 £7 4
VENDOR / 2 a I /63e�fa4 1d 4e,)0 C.v1 Gni SHIP 3p_.�� 7' L � y
O
6141 blew i 060. 6PQ/4/fp cdeff idi > . 4/60 g5
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
/Jer
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
447 A A)714 ---re: ...SLAP;(9 So? . 4. 04114,026d,a
Send Invoice To:
23V ifi. 'Wg-E 61, a6/9
?42‘) > F109
6wzma, .--i i6a3r 1/1))
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT _ AMOUNT
./Js0 9v6 PAYMENT
▪ A/P CANNOT APPROVEDFOR PAYMENT UNLESS THE PO.
79 SCE-11. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE
AND
VOUCHER HAS T E PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CE` THAT THERE IS AN UN•:.LIGATEDBALANCE IN
SHIPPING INSTRUCTIONS THrAPp RIATION SUFFICIENT TO PA FORTH :O'/ ORDER.
• SHIP PREPAID.
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. �- '�/1�J�1 ®+'•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE )500.(-/W 'ti -( I\C;0AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
)OCUMENT CONTROL NO. 34559 \ «\