26590 Hyatt Regency-Chicago INDIANA RETAIL TAX EXEMPT PAGE
Cityr of C sane l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT O
35-60000972 c), 40,5?
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
'URCCHHASEORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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VENDOR 457 SA-S r tc)fI brig— SHIP
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
/44 1.15/17 F— .-Gr i+7°It. At i 1 --r/4 /
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Send Invoice To: L/34 M. 5,�i3O ft/ .--c /� 7"
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on)E etlit e:-- ue.t-r-e_- i 0 / At. '- i 3, p(N. ici
CA2E4 ` 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
VOUCHE: AS THE PROPER SWORN AF IDAVITATTACHED.
SHIPPING INSTRUCTIONS • I HER RTIFY AT THERE IS AN OBLIGATED BALANCE IN
•SHIP REPAID.
THIS'"'a PRIATI N SU ICIENTTO AY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /'
SHIPPING LABELS. 11' / .
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ill L . /�//L_ I , �
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. II
2 6 5 9 0 CLERK-TREASURER ////
DOCUMENT CONTROL NO. VENDOR COPY