26428 McCreedy & Keene CityCity INDIANA RETAIL TAX EXEMPT PAGE of C.
o Carmel rm O.i 111111 l CERTIFICATE NO. 002 0 71
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT a1 tl-
35- 60000972 b
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AIP
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
i FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
)a1 n) 1)
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C (Dr SHIP
VENDOR (5�1 CGs\ -le,,1 I`ve TO /y2 C,lvL. S.-
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.ln.t
\C' UGC IG.� VC.AQ. p Z -15 r aJ
1 J7J
0 e q
<4...9..- •4. wa
i 4 61)) tit =A i
(L__ a
S e, 410 1C3 M C id,
Send Invoice To:
lf� j
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 �y ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1 Z,71 a pi PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
I NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP RSHAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /•n�
PURCHASE ORDER NUMBER MUST APPEAR ON ALL r 6 _A I
FL.
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
C TREASURER
DOCUMENT CONTROL NO. 26428 OFFICE COPY