26546 Schneider Corpof Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
zcocifo
THIS NUMBER MUST APPEAR ON INVOICES, ■P
VOUCHER. DELIVERY MEMO. PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
l i2
VENDOR
\a_CJ Co( �
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SHIP
TO.
COWAMAnDl1
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
OUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To:
IBS.
PLEASE INVOICE IN DUPLICATE
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID. .
• awl SHIPMENTS CANNOT 5E ACCEPTED.
• PURCHASE ORDER NJM8ER MUST APPEAR ON ALL
SHIPPING LABELS-
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945
AND .ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO_
• DOCUMENT CONTROL NO. 26546
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS TRE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTJEI THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPAJAT ON UF6ICIENT TO PAY FOR THE ABOVE ORDER.
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