26491 J M I Mechanical Services, Inc City of Carmel rme CERTIFICATE No. 0 31201 5 020 PAGE
�t+a �a.� JJILLL PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT n�0 9/
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
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
//f g 7/WC 772A-- tel."0
VENDOR 56, b "Roo A. TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE J DESCRIPTION UNIT PRICE EXTENSION
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kt 49 Q y
Send Invoice To: M
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Cod.,w,.e), 0 //6a,12_
PLEASE INVOICE IN DUPLICATE <f 94-.
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
6 5 Sd PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS ALE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP. Ito UFFICIENT TO PAY F. THE ABOVE ORDER.
SHIP REPAID.
•C.O.D. SHIPMENTS CANNOT BE ACCEPTED. 1
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE I •.i
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 6 4 9 1 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY