26486 American Legal Publishing 0 INDIANA RETAIL TAX EXEMPT PAGE
Cir. ®f Carmel CERTIFICATE NO.003120155 002.0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 r "10
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
•
ca S (kit[2-- 71V-c� atc,
VENDOR
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Le:1.---(A $ _
4 .(_et/life r etgcoc-06-71 ;
if ..0,1f1 CO (LA.‘6? 11111 ,
a . t ��e (
.. 0 0 A°. \., ' ,
kiik �} ci •
4 v, al lt : 04:
to, 1 11 J 0 ' .
A''''
-. •A+
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, .... __f,a.,. ),10,#.,
Send Invoice To:
t
Idol 63 -340D .00
PLEASE INVOICE IN DUPLICATE ,
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P 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 APPROPRI SU FICIENT TO P,AYFOR THE ABOVE ORDER.
•SHIP REPAID. am'(�J
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY r
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. 2 6 4 8 6' OFFICE COPY