26293 IPLLA INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
• 35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHE DELIVERY MEMO, PACKING SLIPS,
CARMEL, INDIANA 46032-2584 �y6„�.
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8120/2012
VENDOR SHIP
IPLLA TO Street Department
3400 W 131st Street
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CONFIRMATION E'LANKE1 CONTRACT PAYMENT TERMS �� � FREIGHT
Carmel, IN 46032 (397)733-2001
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 6043-670.04
1 Each training _ _ $65.00 $65.00
2 Each training f�?.;e, J- $80.00 $120.00
I, Sub Total: $185.00
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Send Invoice To:. �'f � fp, '
Street Department
3400 W 131st Street PLEASE INVOICE IN DUPLICATE
DEPARTME'I:Tj IN 0417A_ ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
Carmel St^'°+ n°��y3°x'41°�+* VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. 5188.00
SHIPPINCa INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. NTHIIISS��AAPPPROPRIATION-SUFFICIENT TO PRY FOR THE ABOVE ORDER.
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•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY '`v OAXGCI) /` 1 ���J( "_
.•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. LbPLI: ,�/ 1 V)/' ` ��,k(. t ,•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 � TITLE ,-•
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
® . CLERK-TREASURER
DOCUMENT CONTROL NO. 26293 OFFICE COPY