31546 American Structurepoint City INDIANA RETAIL TAX EXEMPT PAGE
City o f C sane CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
C
FEDERAL 5.600EOTTAX EXEMPT 5/544
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
Flmer'i (nn 5froclutepo�ni SHIP cRc
•
VENDOR TO 3
•72 60 shndelmd 51- lon W. /�Aih 5 •
IhiiAn&pelis,TAf 1+6154 (kr Mel/TN '-t6032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION
i540ne0u5 Arc hi fed urnl Ana 4, 500
E ny•Inee ri q9 Se rvi (eS
((.9,!' : da rt , : ,
Send Invoice To: C,R c, 1 Q M v�
' t) W Mini n 5+. . ill
(Armel ,IN 4032.
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 'f ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1801 '3LiOk0o 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 THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPR P IATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. �•. L/ ..
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �^����/�a•�/f'
SHIPPING LABELS.
•THIS ED O CHAPTER 9CTS TITLE
AND ACTS ORDER AMENDATORY ISSU IN C THEREOF MPLIANCE AND WITH U PP SUPPLEMENT THERETO.9,A 1945
q C CLERK-TREASURER
DOCUMENT CONTROL NO. 315 4 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE