34587 WILLIAMS SCOTSMAN PAGE
City
of� CA RETAIL TAX EXEMPT t
PURCHASE INDIANA
NO.003120155 002 0 ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT Sy 5g'7
35-60000972 7
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 ANDANYCORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
/-,, -/f f- 41-/P 063 sa ft a4;c_E. '(49 -i /C_R-__
t'J i I[ ;is Scars al SIJ, . 7 . `0 rlvsit;2e (,o./-r' Glu.
VENDOR ,g 06 ! S. /-IV 11 /`Q, SHIP ic7 -11 c7 8t2Q)16S1#r PiU
��11 10-X)( 00/i`5. I ,• 44 a77 ( TO C/4 r"'L' j /--) I/6o0 gJ
CONFIRMATION BLANKET- CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
i / ei .-- -I C-E, <1(e-14-i I EP— t
1
Send Invoice To: _
&jo/c,9:/,e.e ( A° C/ted
W 5-7P
/21,26 ,�reooi- cii tge Al I
6,nLe � V 3
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
420/2 iii , .Ya - 9 9 •PAYMENTAVOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
, VOHeHER-H•, THE PROPER SWO•i AFFIDAVIT ATTACHED.
•\I HEREBY C ` IFY THAT THERE I'f N UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS THIS A" OPRIATION UFFIC'N/Te -AY FOR THE ABOVE ORDER.
•SHIP PREPAID. .
J /,
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY I �' _I /I
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL VP `
SHIPPING LABELS. ( ,✓1/J MI /- X / \'
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE i/ y� (/
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ,
CLERK-TREASURER ,I��_�`
DOCUMENT CONTROL NO. 34587