27843 Engro LLC C i ty o f C sane l INDIANA RETAIL TAX EXEMPT PAGE
1 11 1 1 11 E CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 37
35- 60000972 U jt
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 36 W. ¥4 �110E SHIP A/() "''t b /7.L rN f.�
TO
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
a L V i'iEtS-2- 2 IP j/rlte -4 i 1,.9q /5
X)-- Cs' 79 6.9p WI 9
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Send Invoice To: U ik
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CA/ nxe ,Tr✓ u46( PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE V CHER AND EVERY INVOICE AND
VOUCH HAS THE PROPER SWO N ATTACHED.
SHIPPING INSTRUCTIONS I HERB' CE TH T THERE IS NV UNOBLIGATED BALANCE IN
SHIP REPAID. HI AP ROPR TJBf�S�FICIEN7 /IO,PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. 'ORDERED BY /V
PURCHASE ORDER NUMBER MUST APPEAR ON ALL fL t
SHIPPING LABELS. i/�L/ y/ /,C
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE -'7 _AV1�/4L� v_
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 27843 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE