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INDIANA RETAIL TAX EXEMPT PAGE
City of C sane l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT J�6 f
35-60000972 (((/// v 111
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 .EQUIRED REQ ISITION NO. ENDOR NO. DESCRIPTION
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(PR 6 Tif .Af(,. --*(cv\ 51 OI(P_St(Le eaPIA VENDOR --35 E 1 V t / Q 1 TO 64 0 C' Dc Vs12 Afoto( --7---7 ( Leo-3,Z
'F-0\Cfr I ■1-".- --‘q c(62 ?c)CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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4%y 414
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Send Invoice To: (�
PLEASE INVOICE IN DUPLICATE
DEPARTMENT AC O /NT1,� PROJECT PROJECT ACCOUNT 4MOUNTocso
�O \ (�/l PAYMENT ( )
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• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNHE P.O.
\ -- NUMBERS MADE A P'" OF THE y,OUCHER AND EVERY INVOICE AND
< VOUCHER AS TH- •ROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY ERT' THAT HERE IS AN UNOBLIGATED BALANCE IN
THIS P OP'ATION SU ICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. -
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL - `, I
/SHIPPING LABELS. '� /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE -
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Ilig
�6 6�1 CLERK-TREASURER
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