26673 American Bar Association f , }}' (� INDIANA RETAIL TAX EXEMPT PAGE
1J11 ®JIIL Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
Di, tr,i, —iv , V r✓ J / ` t FEDERAL 35X-6010 0972 EXEMPT / -
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
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
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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• 111%
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Send Invoice To: ,
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
( 1.,LG0 /ig° 1/3 6 - 5:530° / /^' PAYMENT X/5-6 • OCR i• NP VOUCHER GE' "✓ ' /�Getvt/1!-`�— /�`�"t. UMBER IS MADE A PAR 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 ABR 'c - _• FFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. r-•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. -
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ' ' TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
• ����� . CLERK-TREASURER -
DOCUMENT CONTROL NO. OFFICE COPY