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C i of Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT �/
35-60000972 �--•(/(�
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQU ITION N•. • ENDS.- NO. A DESCRIPTION
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY • UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
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• PLEASE INVOICE IN DUPLICATE
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DEPARTMENT • ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT. 1
&....) 1 D'0C PAYMENT • 2 770` I
• A/P 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 THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. • THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL . ORDERED BY
SHIPPING LABELS.
•
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 - TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. .
�� CLERK-TREASURER •
DOCUMENT CONTROL NO. OFFICE COPY