27339 Galls LLC City ty o f C armel INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. 003120155 155 00 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 J 1
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 I 1 A r J f
1-4' )ri Z rA U 1 I t I t 7
C I0k fre11 all 11fi 1 K t l/ t if A
,p, I (4 ,�t+' t.� of I 1 1 .l0 I r I L SHIP d
C
TO C
VENDOR r C L. JlC I,.,, l e
LP iv' r(tc -in V 6T(Y7 (i I /695
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
k
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
I ft cteMIC 7 T�
/7 1 f
jj
f r
ri l�i�
A t% 0 x`;1
t la f
Ul -4 ti 6._
7 :ill
o
S f'
��o ..a -0
Send Invoice To (-1 I k ,n 004762 y�
i //--7 /6bi 2
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ,ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT i,
J (5/O PAYMENT 7 IL/
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.C.
NUMBER I5 MADE A PARTOF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY \THAT'THERE IS AN UNOBLIGATED BALANCE IN
THIS'APPROPRIATIO` (SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. J
C O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY r f.
SHIPPING LABELS_ --I) C lllf
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. i
2 7 3 3 9 A.P.V CLERK TREASURER
DOCUMENT CONTROL NO. COPY SIGN AND RETURN TO CLERK'S OFFICE