26466 Gibbs Planning Group C i o f Carmel l INDIANA RETAIL TAX EXEMPT
1 1 11 1 I'�./ PAGE
CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT to
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
2 1 t I IZ r
Gibbs p ,9o� ,lyr.C?vu /n1cNhcL z 01 b '.S/'
VENDOR 201 W T r.f-f£ Sr' SHIP C /O C.-i or- Lfi2✓hcc.C_.
SIT-. /7.) TO )UC5
ode C'I ✓I C
(_losks,y frig( II'p y 9,f77 n efrn1C rJ U 4 03 2_._
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
X
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
COhl 5Vc! t "roil t a-
412914_ I) 1 r42 /C' r 57 u tV 1
v Fir nifrch mft s �udr -e_ G0 t/L(40/m/I
`1 ffi —rat u a y 7, AC a
I ,7 -4 Qu a aA A,
pro e t ufl t: *Q
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OQ••' o ....••�0 4�� ys 4ou op i A ,07lz)
idi
Send Invoice To: S f�J/� U� lrr1 -IJ 4. —4 /6'0 I
c/o d, y Or ,,,,,,,,e_ oz r o U I/
b c.
C elf n- Q r ga,032_ PLEASE INVOICE IN DUPLICATE.
DEPARTMENT 1 ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
AIP 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 HEREB THERE I5 AN UNOELIGATED BALANCE IN
THIS APPHOPRI O 1 SUFFICIENT O PAY FOR THE ABOVE ORDER.
SHIP REPAID. V
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ff i A ,Cl.�� /I h
vF
SHIPPING LABELS. L 'l
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE I Th n l /A r
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. IV
DOCUMENT CONTROL NO. 26 4 66 CLERK- TREASURER
A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE