31728 Lorman Education Services City ty of f Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE
1n1 I'�/ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT //��
pG6`� fYIQn-E Qt r kaGJ 35-60000972 2I C� _ .
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
1.--0( Mai Edoration e014CP5
VENDOR SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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AtiVrioy tlshlhoy Ulb(icht --ta amend
51-)c ana- Clonemm reinon 1itkd
A C4 an 4 ''' CV'l.r..•°�h ;L. , Con Ad,• I
}Icc +:
Spminc $5.211\1 U
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Send Invoice To:
bouc�\o 3 a. Han-el —a ��ll��l
di-ry 6-1 0GC nit I
On., civic 599vcr-e
Co rme ll P\) 'UP o3° PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT /� AMOUNT
40 0 )180 4/35 700'- $
/ PAYMENT 43 /. 66
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
.1,6,5-k vc-h ona t F..ee C 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
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. ,e
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. C
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. • i M
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
- -1 a�`�/_V _
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 31728 CLERK-TREASURER
v A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE