26710 Bose McKenney & Evans LLP CA INDIANA RETAIL TAX EXEMPT PAGE
1 tY ®]f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
DL�M n1EJ J OF FEDERAL EXCISE TAX EXEMPT /I /C�TJ� 35-60000972 lD
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
/r;Z-// g//;•-•-
Ply
VENDOR ►.o1 1' SHIP
/// 4 , 'U.li a" TO
, A✓ /�ao 9
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
e ' %i' / A51--- Ag4,616t,e0C ifl-e- e64 0( 062 , OC
gs 98‘.
0" - :.ill:c.- z; 1 -,
'44Cr. '
•
■
4 a a le ,INN
4/ : ",
14 .,, :, ,
,11111111111, * ' ' i ' ifit
d °3 i'•m
'illillik a° 1
` ► a .
� •
, tcED) v K., #
Send Invoice To: _✓j? , i
DIOld, -
w
PLEASE INVOICE IN DUPLICATE
• . DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Adtvj ii v) '�(3o -� X ooD • PAYMENT 0 j 00 g, D d
C���2 �f,i n • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
(�//°/� �"CX�CJ 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
�H$&APPROPRIATION. UFFICIENT LQ-PA.YFOR THE ABOVE ORDER.
•SHIP REPAID ('
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ` 1
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. '
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ...0 --ice .Q a __
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. /
CLERK-TREASURER
DOCUMENT CONTROL NO. 26710
OFFICE COPY E .