26392 Meg & AssociatesLity of Larmce1l
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
'ORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE_
9CHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
5 -26 -12
JENOOR
Me9 Assocates
905 LaKewaod Dr. >
lndl`anrLp l�s, Z•l 1-j(?f
SHIP
TO
iy of Carmel
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INFIRMATICH
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
lend Invoice To:
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PLEASE INVOICE IN DUPLICATE
/310a
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT I AMOUNT
PAYMENT
- AIP VOUCHER CANNOT BE APPROVED FOP PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNCBLIGATED : LANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE - -O !'DER,
SHIPPING INSTRUCTIONS
- SHIP REPAID.
- C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACT$ AMENDATORY THEREOF AND SUPPLEMENT THERETO.
IOCUMENT CONTROL NO. 26392
ORDERED BY
TITLE
CLERK - TREASURER
VENDOR COPY