26362 General Dynamics Itronix C G INDIANA RETAIL TAX EXEMPT PAGE
o f C arme l CERTIFICATE NO.003120155 002 0
a' y �a PURCHASE ORDE UMBER
FEDERAL EXCISE TAX EXEMPT .a G j b
35- 60000972 l
ONE CIVIC SQUARE 1 THIS NUMBER MUST APPEAR ON INVOICES. AT
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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10afith T TO [rn-e I ,i 4
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CONFIRM flON BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION i UNIT PRICE I EXTENSION
via //C a4 le
Dion -lf j c tq` 9.701.6
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT 1 ',PROJECT' "'::PROJECT ACCOUNT i AMOUNT
/PU°Z 65 .2-O2- :13?-5.6k PAYMENT
0 a 6' 3 oa 4 y 7 U77 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 C TIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS O IATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.O. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. y
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE t 4,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CL ERK TREASURER
DOCUMENT CONTROL NO. 26362 CFFICE'COPV t