31255 Purdue University PEC Business Service C0 INDIANA RETAIL TAX EXEMPT PAGE
ity of Carmel,sanel, . - ., CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
�1/ JJJIII FEDERAL EXCISE TAX EXEMPT 31255
35-60000972
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/2512013
Purdue University PEC Business Services Street Department
VENDOR SHIP 3400 W. 131st Street
128 Memorial Mall, Stewart Center Room 110 TO Carmel, IN 46074
West Lafayette, IN 47907-2034 (317) 733-2001
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
' OUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 0043-570.04
1 Each registrations $105.00 $105.00
Sub Total: $105.00
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Send Invoice To: rlj�Jj�
Street Department 1
3400 W. 131st Street
Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Street Department PAYMENT $105.00
• 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 THAT THERE IS AN UNOBLIGATED BALANCE IN
TH PPROPRIAT NBUF\ICIENT 0 7AV FOR THE ABOVE ORDER.
•SHIP REPAID. t*../�1/ 1�
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY r
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. ,`y
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �> (1(4- -n-„ ,. t 5 c. I O k. 0 r
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
q CLERK-TREASURER
DOCUMENT CONTROL NO. 312 r 5 5 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE