25843 Crossroad Engineers CiJ111 ty o f Carmel n INDIANA RETAIL TAX EXEMPT. PAGE
1 11 1 1 11 1 CERTIFICATE NO. O. 003120155 155 00002b.
4 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
J
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AP
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
Cr OcSVcc.ka E 1V.tt.✓S
VENDOR SHIP iTh Oc Eys.0 v..Q9-V1h
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
7 p 1 s s
It rr s 03
E
5' K \cCe dv 'fi kQ
vokkt* ...7+4.
Send Invoice To: Lri f r" J V V
1 /0 pt
1 211
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT 1 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 C IFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPR TI N SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. rJ /1
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 8 4 3 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY