26482 Bell Techlogix C 1 11 1 l 0 ty of f Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE I
CERTIFICATE NO. O. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT OVA
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
CARMEL, INDIANA46032 -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
4173/1 Z. /U N P 6kICBob X SHOP
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VENDOR ''nn {��n SHIP I(. BUG /Q
V Wl >°i Y �1 TO
at v I c t L(
S, +ii S IA. rt3 l eh CA I r) 44003:9-
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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l,ocat Ib. I OD x5--139 II Ore f `pe r
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Send Invoice To: O 0
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 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 I HEREBY BERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APR P IATION SU�FIOIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. SSA
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 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
26482 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY