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0 INDIANA RETAIL TAX EXEMPT PAGE•L-1 -`®f Carmel_ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
° FEDERAL EXCISE TAX EXEMPT 2(/) /� X
35-60000972 ((( ���
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION•11. 4 S /7011. A /
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•CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
' QUANTITY UNIT OF MEASURE DESCRIPTION - UNIT PRICE EXTENSION
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DEPARTMENT ACCOUNT PROJECT PROJECT ACC*.
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{ ✓✓✓ • NP VOUCHER CANNOT BE A"PROVED F PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF HE VOUC ER AND EVERY INVOICE D
VOUCHER HAS THE PROPER . ORN FIDAVITA •CHED.
SHIPPING INSTRUCTIONS • •1'IIEREBYEETI IFYTHAT " IS UNOBLIGAT • :ALAN• I
•SHIP REPAID.
THIS APPROPRI• ION •FFICI:NT O PAY FOR T. •:•,E•R R.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 2 LI d 4i.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL __
SHIPPING LABELS. /•THIS ORDER ISSUEDIN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE \(__Ilif '// I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. `\Y
6.6 6 6 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY .