26765 City of Carmel CityC.O . INDIANA RETAIL TAX EXEMPT PAGE
n I' ®f Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT av 7 I n
35-60000972 lV
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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Cc-17'
4) Iv`1f SHIP
VENDOR 010-JVA-AWVI)
TO
CONFIRMATION BLANKET CONTRACT - PAYMENT TERMS - FREIGHT
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QUANTITY UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION
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40 -404. ,vuk.
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Send Invoice To _„f
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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
•SHIP REPAID. ��))
THIS APP�ROIP IAT ON SUFFICI N TO PAY FOR THE ABOVE ORDER
. -
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. _ mil i
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE - l/
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. v
CLERK-TREASURER
DOCUMENT CONTROL NO. 2 6 7 6 5 OFFICE COPY