26588 Hand, Inc. CitY ®,Jlr/�° C����� INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 456'
L
35-60000972 •A
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
id- 19 -) �—
ID al ar CitI r
VENDOR ,g 17 5. 8- S!. , 50,11.6. II"SHIP y\vGs
�3bitSlilil.e1 11J TO 610f-CsOi c -
440otia Cq>z �cpa3a--
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
X
QUANTITY UNIT OF MEASURE / DESCRIPTION UNIT PRICE EXTENSION
g),„4„, ,, .Si h. f— )0- K S jv i'Y)"' 'lam
-' �
1.w! ' lam(/'/ `", 1.' 1R' l'lJ�' l
, , ,„,, I • , „,,
, i- .. .4, ,......
t, , ..
bi : W (1:i 1 ,,4
0- . . i
se _ :
-....,
• Pg ,
:• f ()CS
0.
Send Invoice To: ,. �I '; 7 } ,,,' '`
JD 0,ty Crn-r>i,a2—
OcS l3DTb: /, SZb-(,\
EME Civic; . uu-r-e-
C/ m€-t1 'Mt) 41,03,__ 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 SWOR FFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HER CERTIFY THAT THERE IS UNOBLIGATED BALANCE IN
•SHIP REPAID.
T S•ROPRIA N SUFFICIENT O PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. �! L
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 411;1;� . �%
R �/I . , - -I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
/v
CLERK-TREASURER
DOCUMENT CONTROL NO. 26588 VENDOR COPY