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i t w (dl r e it CERTIFICATE NO. 003120155 002 0 E J
PURCHASt ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT C,
35- 60000972 d
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO VENDOR NO DESCRIPTION
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CONFIRMATION BLANKET( CONTRACT' PAYMENT TERMS
SHIP FREIGHT .i'`
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QUANTITY UNIT OF MEASURE DES le,, I. UNIT PRICE EXTENSION T ee:1./r7: 4 ti
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DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
/3-D 5--id ,.2- PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVITATTACHED
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BAL, IN
THIS APP•IATION SUFFICIENT TO PAY FOR THE ABOV-,N l 2
SHIP REPAID
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY j/
SHIPPING LABELS. ,4
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945;5. TI F g �J IQ AND ACTS AMENDATORY: THEREOF AND SUPPLEMENT THERETO: fi kti G t
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 5 8 5 5 OFFICE COPY
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