34561 VINE & BRANCH rMVG
C t of C Cil �1J1� INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO.003120155 002 0 /
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT I 21/5-6/
ONE CIVIC SQUARE 35-60000972
fill;NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 I VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 I SHIPPING LABELS ANDANYCORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. ,,J/ DESCRIPTION
/-9 it / 9 // 3/i'�70D ; c /L v,4-
VENDOR 7 /oLf .. )/7149 .911n SHIP /024,10 l63,ves�v ei /p42,7
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
/ rJe.; 3
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
�46E Loopi-/ obi?rC -D Zz
/
Send Invoice To:
,azoaz ts#;ei. &d, /
) 2/a-o , a44/: )2r
emeA.€1 __ ---id .9 , -3,
,P75"(z) , ._______
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
/..26 7 /,/3 6-0 9.do 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 C FY THAT THERE IS N UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS THIS APPR RIATION SUFFICIENT O PAY�OFhTHE ABOVE ORDER.
•SHIP PREPAID.
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ' ` ��
SHIPPING LABELS. /R/,//C/'_ 66,
! ��
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1946 TITLE L [ JV� �i ((( �(
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. \ U
CLERK-TREASURER , 4
)OCUMENT CONTROL NO. 34561 � k