27829 Blue Grass Farms C of Carmel CERTIFICATE NO 0 5 0
03120x M 2 0 PAGE
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT r}
1 35- 60000972 0
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABEL$ 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
6101. B7''a-S S i'r44 13 o 2- 3- ,.iii' ri e tru.C.-
VENDOR
o) I S to- c." J c: SHIP ill i'^�rC s ./4 -1
TO A/LE- CI v
.Lr'Sv' i cc 3 Ci�7^r�-�. Lit, 3
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
X
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
47 1 ,-r, it ✓I c. 4 -i i.4 A Yes
SUL A71ii MkI- 4 /5
0 ,f_fl 0 CA Joi---1.3-1/4 i
'0 1 4
W
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Send Invoice To: ��j 11 i
1.64 m. sr KJ 4ti r —J1
1 yy- &av 170
o boss
i ,u Ci ✓I C; Se.
Gstnvp. f 9 ��L�S'S
46 a- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND I
VOUC HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I'HE• B CERTIFY THAT THERE ISAN UNOBLIGATED BALANCE IN
THI AP ROPR TIO UFFICIENT TO PAY FOR THE ABOV
SHIP REPAID. W
C.0 D. SHIPMENTS CANNOT BE ACCEPTED. P Y J
ORDER
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY n
SHIPPING DER ISSUED tr-L.., L({ /n --�wf� •THIS OORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE I AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 7829 CLERK- TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY. -SIGN AND RETURN TO CLERK'S OFFICE