20010 Republic Services 0 INDIANA RETAIL TAX EXEMPT PAGE /
City ®f Carmel_armeY� CERTIFICATE NO.0037201550020
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT ��()/�
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
1-/S- �`t i-/3-/e7 3sFsQS 1�ASfI Se20ICF
eee e' S5c.QicEs i31,200lcsy,`, 6,l-P /.lo .-
�J n SHIP 1o2/ao
VENDOR (1 ��'l CRf2S�F7-lr:. a'�( TO /�/(�X��I.�Sf/i%Zt- f//'LW y
oC �l�eu'- / , I ybo3i
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION f UNIT PRICE EXTENSION
040 '4 -
•
. 1147 al tilel
a
*St% :IC .4 .
Nur, an
•
Send Invoice To: �O uU O;)1
Bcaci7'„z- 6/Pe/
fl'l>i l bfl—lJif
/02i020 khy.reai/'E
eig„,�-�/ �2,J 9 35 gjoab.
\ PLEASE INVOICE IN DUPLICATE
DEPARTMENT ' ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
• 1o2-o7 755a/a/ 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 SUFF I T -:PAY FOR THE ABOVE RDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY \
BY .
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL .
SHIPPING LABELS. . ,
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 7 I`' A__ . ,di °-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
20010 . • CLERK-TREASURER
DOCUMENT CONTROL NO, OFFICE COPY