25845 A & F Engineering City, 1111 O ty' o f C sane l INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. O. 003120155 155 00 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT �f s
35- 60000972 L J O
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AJP
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
it S 1F Evc v-�
VENDOR q SHIP
VSlot Ve t 1.resSia SEwc70 ev vIv..
T Yk 1 I Th i 410240 S�
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION
W
O OVI 1j e9-67-10.og-
Va c I c 1 1 0 Co v( 5 0
I *te�awcc
n1 Ma
ki
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(�1� e1 i7 .Oct isr
Send Invoice To: t 11 L3
2.0 Z Soct
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
NP 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 1 HEREBY CERTIFYTjATTHERE 19 AN UNOBL!GATED BALANCE
THIS APPROPRIATION' UFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Ol
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE —e../
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO, 25845 OFFICE COPY