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0 ®f Carmel INDIANA RETAIL TAX EXEMPT PAGE O
CERTIFICATE NO. O. 003120155 002 0
PURCHAS ORD R NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 j n
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
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k it met ,99,fore tnS //I 1 ea. T. r i CA-- VENDOR 4 2_219? Al Al .S K U,�J� SHIP Cr tine 4 L., To r j A4!'32___
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CONFIRMATION BLANKET C NTRA T t PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE e EXTENSION I
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Send Invoice To
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I PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 'q PROJECT ACCOUNT AMOUNT
pe? ;i 57j 0X 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 UNOBLIG' D BALAJICE IN
THIS IATION SUFFICIENT TO PAY FOR 4.' ;OW
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED
ORDERED BY 1
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TLE 4 a L ,t a
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO s 4., fj z
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26 3 6 4 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY