26682 Atty Steven R. Lloyed City �� C����� INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0
PURCHASE ORDE 'N ER
.1' FEDERAL EXCISE TAX EXEMPT
35-60000972 I OP 1
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
WRCHASE ORDER DATE DATE REQUIRED ^ REQUISITION NO. VENDOR NO. DESCRIPTION
Zc( Gr� s 2 ` < ) n°c 3
ik-it;, steoev\! ( I SHIP
VENDOR \ 16 0 U 40 TO
Upc� r P ( J l-q vhf ; (7,663,?
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
CIE
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Send Invoice To: , ` qe
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT . AMOUNT ��
C��• �---� \ 11 r �91. ✓ PAYMENT E1Z� LJC�
• A/P VOUCHER CANNOT BE APPROVED FOR PAYM T U S THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
CHVO ETJ R HAS THE'P.ROPER 1/(TORN AFjIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS (I HEREBY CERTIFY T AT Rk IS AN OBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPRO ON (FFICIE T PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. --` n
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY - I '
SHIPPING LABELS. ` f
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 26682 OFFICE COPY