26352 ITDVDS.com �i f C arme l CERTIFICATE NO 0031201550020 PAGE B
�v s y 111111 PURCHASE ORDER UMBER
FEDERAL EXCISE TAX EXEMPT 9'552-
35- 60000972
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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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS J FREIGHT
QUANTITY UNIT.OF MEASURE DESCRIPTION UNIT PRICE ti. EXTENSION ,.N
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Send Invoice To 2j j1 0 .KU4i� -a O U
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT ..PROJECT PROJECT ACCOUNT AMOUNT
8 1 9 r X U G 9 -.4„ PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIF. THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APP IATI N SUFFICIENT TO PAY OR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITL /5 ✓1/ e I•"
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. n p CCC/// O
26.352 CLERK- TREASURER
DOCUMENT CONTROL NO. OFFICE COPY d