26532 A & F Engineering City O l n l I'\1,/ ty o f Carmel INDIANA RETAIL TAX EXEMPT PAGE
Il CERTIFICATE N0O 003120155 155 00 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2(o S3
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
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
A ti t An-St-.Y r I C
VENDOR
SHIP y�\ 6c 1-.- ,Ast I_ve1 /1 J
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASUREI DESCRIPTION UNIT PRICE EXTENSION
.,t ,c c 0 9
If "s 1 e \fa-4\ S'1/4 g
gi p.....,. a 4
Send Invoice To: s U pr, N_ i TE
2c2 -Z 44 toz8(DI
PLEASE INVOICE IN DUPLICATE 6e\ec.�_e_ groin 2r9S o)
DEPARTMENT i ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE OPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY AT THERE ISANUNOBLIGATED BALANCE IN
THIS APPROPRIAT IG NT TO PAY FOR THE 5BOVE ORDER.
SHIP REPAID
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. QRDERED BY
SHR CHASEASL O ORDER NUMBER MUST APPEAR ON ALL J
SHIPPING LABELS. 4 C/C� 7 A II i
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
7 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26532 CLERK- TREASURER
OFFICE COPY