25846 Parsons City 0 1 ¶1 Carmel ty of f C acme l INDIANA RETAIL TAX EXEMPT PAGE
I'�/ CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT n t
35- 60000972 L
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
SHIP
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VENDOR E
TO
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
O
0 AO 1 c t$ TI li k 9 c t 0 0 S
nr• )111011/4
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Send Invoice To:
ko(l, s°
2\l- clok
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
e NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTI HAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRP FFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
2) --11: 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 1—
CLERK TREASURER
DOCUMENT CONTROL NO. 25846 OFFICE COPY