25848 American Structurepoint 1 city f C arme l CERTIFICA E 03120X 5 020 PAGE
Carmel PURCHASE ORDER NUMBER
FEDERAL 5- 0 0972 EXEMPT 2 C>i 1
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
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 1 EXTENSION
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Send Invoice To:
4 7 3 000.
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT. PROJECT PROJECT ACCOUNT AMOUNT
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
VOUCHERHAS PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTY THAT THERE ISANUNOBLIGATED BALANCE IN
THIS APPROP• •N CIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. f
00. D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL A
SHIPPING LABELU. /1
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25848 CLERK- TREASURER
DOCUMENT CONTROL NO. OFFICE COPY