20026 Interstate Batteries City ® /�° /������ INDIANA RETAIL TAX EXEMPT PAGE
of C CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT �G��G
35-60000972
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
0- S - ra IP -I -Ia I1 �aG 4 ,�
IS- 19TrceiE,
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VENDOR 4 g r/ f �1(` 5 L SHIP ) 3 I �1
O J TO / l.7 0 ( /oo kSt•I-� kw /
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1.od, ,1 s, [ / 460,2(q CO, (, Tic( Z-4033
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Y
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
60P 641 a41-es l' 13q : /3 9 4 q
00 P -,,,,,,
off_.- . _.... ...___,,.,‘.„,.4 ri,..,..„._,.i.,,,,
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\INK <2? ..* '4 ' ' 44' °*+,.0
\ri.1.4"74%..
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Send Invoice To: 0.) 5‘q GC) 0
-3/00,-,1! fit,(i 6....p5/
Ia( ?o 370oLr6., r, *&)y
Copkte(I_r`,-( 6.4033
PLEASE INVOICE IN DUPLICATE i /3 qq'
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
/ --? 4435b'0 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 ATTACHED.
SHIPPING INSTRUCTIONS - • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP,"RI TION SUFFICIENT TO PAY FQR THE ABOVE ORDER.
•SHIP REPAID. ■
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ,(,( J
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ///---
t �\ .., r
SHIPPING LABELS. �j1�^
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
20026 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE C‘\Y