25302 United Consulting C g., S.
C i I T I Of Carmel CERTIFICA EENO 003120155 002 0 PAGE
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tAa PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2 Sso-t
35-60000972
•
• ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A1P
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
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VENDOR SHIP
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corFIRManoN BLANKET CONTRACT l PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION I UNIT PRICE I EXTENSION
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Send Invoice To: 0 CS G ■
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PLEASE INVOICE IN DUPLICATE i% I O1°2 �'
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• • NE 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 AFFIDAVITATTACHED,
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY T11At TIIERE IS AN UNOBLICATED BALANCE IN
THIS APPROPRIATION'SrUFF GIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. •
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ._ '_I -- !"_ _
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25 30 2 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY