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of l CERTIFICATE NOO 0031 003120155 00 PT
0
PURCHASE ORDER NUMBER
r FEDERAL EXCISE TAX EXEMPT 0 20 7/ 2
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
C -9- 3C1'776 ��SS��,Q,__ ;e �Q 241
S't+ ozy EeNIJ O IIsiss SHIP 'o// l� 7
VENDOR Ci 9.57 CQfZ j°TE e 2e TO /a /dk &e- COCS,4f eC
a/9-iJia P9 ii il(oalgf e../W.^-E.../ �{Ga -f3
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE 0 DESCRIPTION UNIT PRICE EXTENSION
,genie ACE.e- 4 ,357-- 137s
0 4, 0 0 <4 GJ�
'LL R 11U le •!Q 1
RS
'0.74';
S i: --0 4 O
Send Invoice To: �Q L": Jam
,eeipaasH;c (St &`mob
£5Z C J� ,/,,cas
PLEASE INVOICE IN DUPLICATE 1 37S:
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
026'/ g3s-of f PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.C.
NUMBER IS MADE A PART OF 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 AP R OPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 'v
SHIPPING LABELS. I /f
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE l,Y m (Cur v ✓v `w OW// 9
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2
7 1 2 CLERK- TREASURER
DOCUMENT CONTROL NO. OFFICE COPY