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11 11 �p1 Carmel JJJIII rme II CERTIFICATE N0.003120155 002 0 PURCHASE ORDER NUMBER
�I[ \L/ FEDERAL EXCISE TAX EXEMPT 2 9 C
35- 60000972 1
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A•
CARMEL, INDIC SQUARE VOUCHER, DELIVERY MEMO, PACKING SLIP:
SHIPPING LABELS AND ANY CORRESPONDENCI
OR A PPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
[CHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO, DESCRIPTION
IENDOR SKIP C}C IV�LA. ✓\✓LS
1NIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
OUANTITY I UNIT OF MEASURE DESCRIPTION I, UNIT PRICE 1 EXTENSION
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`i. ;A 3 0.03
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Send Invoice To: 1�,.,� `v:. L I S CO (•7° l.S' I ii ill 101
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT 1 PROJECT 1 PROJECT ACCOUNT 1 AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 HEREBY CERTI AT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPR :4L.jti TO PAY FO THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY dL
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
i SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 4
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
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