27848 PaperLite C i y Carmel f 1\ a rm e 1 CERTIFICATE NO. 031201 020 PAGE
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 24 2
35- 60000972 r
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES. NP
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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VENDOR P�QGi L SHIP C t V 5 C
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QUANTITY/ UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
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1 113 tt
Send Invoice To: S ��u)ivr f Pr b()- C i i q 1---
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e 2��� PLEASE INVOICE IN DUPLICATE �'Z
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DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
NP 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY OERTIFY THAT THERE IS AN UNOB4'IGATED BALANCE IN
THIS APP O SUFFICIENT TO PAY FOR THE ABOVE ORDE
SHIP REPAID.
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C.O.D. SHIPMENTS CANNOT BE ACCEPTED. 4
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY i
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SHIPPING LABELS. �Ate` „I --C �f -C w
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 27848 CLERK- TREASURER
A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE