34560 RESIDEX/TURFGRASS YHlat 1
C it �Jj"® (f° Ca.riiiel INDIANA RETAIL TAX EXEMPT /
CERTIFICATENO
NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT P/5-'6.6
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 ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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VENDOR LA, • iLS—/74•GJ D 70At- SHIP /�42G 6DL,S/fr,4 �L4�y
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
3°
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Send Invoice To:
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/02/0242a ffi&e),45/2/;,ec /ki
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DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
4)-67 2/ ..5,'avdo PAYMENT
• A/P 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 A UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS Tj4•'P"OPRIATIONSUFFICIENT T'a PAY FOR THE ABOVE ORDER.
• SHIP PREPAID. �
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY .' I/ 6.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL \L
SHIPPING LABELS. / i / 7 /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE C-r tel/ G �'�L
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. .
CLERK-TREASURER
)OCUMENT CONTROL NO. 34560 1