26298 Kipp Brothers I Cio : INDIANA RETAIL TAX EXEMPT PAGE \
®f Carmel CERTIFICATE NO.003120155 002 0 pURCHASE'OtRDER.NUM`BER
a
FEDERAL EXCISE TAX EXEMPT
35-60000972
'1 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
if..f.. CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
` FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
26298
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VEND911912012 — SHIP
ipp Brothers TO
Street Department
_Q`''- 3480 W-.131st Street
CONFIRMATION. BLANKET CON RA 8Y PAYMENT TERMS FREIGHT
r Chicaflo, IL 686-0149
(317)733-2001
,,;QUANTITY UNIT OF MEASURE( DESCRIPTION UNIT PRICE EXTENSION
•
Account 004230 •
1 Each supplies -1
J.*fit
�1 Sub Total:
tOiT ', ,,,.1 0..!......,•'-,'. ,Q/k:'\-40. -
407 . ...„..*** • tip +0 1 44 , (0 0 ist,....4% \itlieilk
IS
..A 4,„, .. e A
..
iiii:,/ .
..�0 !?%' irk' i °
t \?4*,
•• °\ .
G• °°•° ° °¢li,
Send Invoice To: eT °° • '
Street Department PLEASE INVOICE IN DUPLICATE
DEPP ' LIY+i_f- 131st Street ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel, IN 46074- PAYMENT -
• A/P 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 ATTACHED.
SHIPPING INSTRUCTIONS , • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE OR
•Sa5 QP Street Department .�
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. i ORDERED BY ---•16c) it 1 t:( aQ .19,,y:_,—
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
' SHIPPING LABELS. '//�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE .ik 0 .I L ..p ('. t,_ .(A —,1 j.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERRETO. I 0
I
DOCUMENT CONTROL NO. 26298 CLERK-TREASURER v v
OFFICE COPY