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1\ _r of Carmel CERTIFICATE NO,003120155 0020
�/ ��.// wu PURCHASE ORDER NUMBER
• FEDERAL EXCISE TAX EXEMPT „�,n
35-60000972 ( .,0`�
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
/-/S- /57 /- /3- N� /J / a9.3sa936 66i-1Gm;&QI
1/11),. :Eo //,; "• d lunads Gr)r �l h ii2� �i�J4 &�wITY,
VENDOR /a.O �Ly/t./ �g/UL� SHIP ���,�f/ Q fi l-� �ti�/./ey/./ ,�p /
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1
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
l/ ,UST
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
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II■1 0'.
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a a
Ve..i...7*----'..6 440
Send Invoice To: llU (
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I'd/aD R,ZG ente ,Evy
egg ,J / S //,, ��
�fG33 PLEASE INVOICE IN DUPLICATE U' �� .
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
/207 0- SO4/-(e) PAYMENT
• 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 THAyTHERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION'S 111 IENL TO PAY FORTH ABOVE ORDER.
•SHIP REPAID. n
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•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.
2.)0 9 9 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY