26393 HH GreggCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
F INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
x(0393
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REOUIRED
REOUISITION NO.
VENDOR NO.
DESCRIPTION
VENDOR I-10 G-re9c
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1 -In 4 ".T H102( —f0 (3!'1) I''/5 -1577
CONFIRMATION
BLANKET CONTRACT
PAYMENT TERMS
SHIP
TO
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Car Mil GI, 7:1,1fd
FREIGHT
OUANTITY I UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
2
Send Invoice To:
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
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 ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26 3 9 3
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 THE PROPER SWORN AFFIDAVIT ATIACHED,
I HEREBY CERTIFY THAT THERE IS AN UNODLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIEN TO PAY FOR THE ABOVE ORDER.
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