20008 Harrell's C O � of f Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE /
lnl CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 07660;?
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,ATP
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
/-13- /� /-/2-21/ 3601360 'NE• ia-/s
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VENDOR -P-01 y0d9d 2 SHIP /
TO
/ 2/20 jg.ocrS/�i2E �ttt)
/1-7-4 JTA , 6 3D3 fl ysaly C'fene • ; ,J V&03-/
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To: - ("
/3/200L5/ti'ze &0/P d/mob
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thifil , iJ I-4033 - I S 57 D-0U,
.f PLEASE INVOICE IN DUPLICATE
DEPARTMENT / ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
AzoA7 -7Ss-oV PAYMENT
• 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
THIS APPROPRIATION•SUFFIC ENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•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.
2 0 0 0 8 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY