31556 Bradley Stedman Limited I
0 of INDIANA RETAIL TAX EXEMPT I PAGE
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l\ ®� Carmel�� � I u CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
�v �/ FEDERAL EXCISE TAX EXEMPT 3/556
35-60000972 J (J
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
VENDOR Ordke L . S-'PJ An �IAtI IPk SHIP ( �?K
TO
P.O. v �, s � �u [N. ,�1n� r. 51 Su;�P 27Q
W (,4 Fnrvn , MD sRO7Y (6YNtr!, 7-.& Li 6032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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r P (krme1 fQr 2013
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Send Invoice To k �f-�'" ��
50 VA1 j1 5-{ , )meif 2 _
(nrmeI, 14/ 46632
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
102_ 143803 03 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.SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. {,/
•COD.SHIPMENTS CANNOT BE ACCEPTED. 763 ti /.�7H
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY - :•+� �
SHIPPING LABELS. /4>k1/4 /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE / `�-"-�-�-'ti
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31556 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE