26350 General Dynamic Itronix C uty of 1\ arme CERTIFICATE NO. 031201 52 0
0 0 PAGE N IB
�S/ w PURCHASh ORDEE NUMBER
FEDERAL EXCISE TAX EXEMPT
35.60000972 3 5
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 g PAYMENT TERMS .FREIGHT j
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QUANTITY UNIT OF MEASURE i. DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To: 5n) to Are g e u
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT.
'2 e /1• 8, PAYMENT
/VP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
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 pALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR TH QV RDER.
SHIP REPAID.
C O. D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY N
PURCHASE ORDER NUMBER MUST APPEAR ON ALL /JY
SHIPPING LABELS
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE J /Age L
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER 4
DOCUMENT CONTROL NO. 26350 ,e, OFFICE COPY