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INDIANA RETAIL TAX EXEMPT PAGE
' City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
DEFReTn7�` ,j � k FEDERAL EXCISE TAX EXEMPT
�/ 35-60000972 ■ / o
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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VENDOR
�� A19.1-1? SHIP
.� 0 . 629A TO -
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION �
` /f t UNIT PRICE EXTENSION
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Send Invoice To: � ,
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PLEASE INVOICE.IN DUPLICATE
DEPARTMENT A CCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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i L 02 2 7,/l&- 6?De 0 PAYMENT 327. I75
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456:1141112 /62,421"i2-- A 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 HER Y THAT THERE IS AN UNOBLIGATED BALANCE IN , ,,
SHIP REPAID.
T IS APPROPRIATION CIENT TO PAY FOR THE ABOVE ORDER.
••C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �'
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL A
SHIPPING LABELS.- //( _,; _ %J `
•THIS ORDER ISSUED IN WITH CHAPTER 99,ACTS 1945 TITLE �
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I 4
°y 7 CLERK-TREASURER
DOCUMENT CONTROL NO. 2 6 6 ! G- OFFICE COPY