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26566 Clark Dietz INDIANA RETAIL TAX EXEMPT PAGE City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER SE FEDERAL 5X 010 0972 EXEMPT I�c� J„ . ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, P 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 • • . C\avk- 7+C VENDOR C10Q S/Arr�• C,(d.,S��'S, -,,Q,_. �O(7 SHIP 1Je� • o � � vLftSL.�tink? TO • J T06> , ZVA 4240 . • CONFIRMATION BLANKET CONTRACT `, PAYMENT TERMS - FREIGHT • • • QUANTITY UNIT OF MEASURE . DESCRIPTION UNIT PRICE EXTENSION • . CO pryi,i&t- 19,-...,. .(A 1 --#:-.-b J • • • �` ° � �V � W v1St© : * i rp.k *mil -.... v-.4 . °4' &"*--, • 0 .° q'i S: " 't'q 4,-,,'''."'°'"°°'7,-..''0 •0, ' . Send Invoice To: . '_� , X >•, *\ \ t\� 2.20o- Gl O\ 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 SWORN AFFIDAVIT ATTACHED. • SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THT--JHERE IS AN UNOBLIGATED BALANCE IN. •SHIP REPAID. ' THIS APPROPRIATIONS•F ICIE.T TEPAY FOR THE AB-VE ORDER. -•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY -.......e.-0--•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ( SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. .. DOCUMENT CONTROL NO. 26566 CLERK-TREASURER OFFICE COPY