31555 Community Facility Partners PAGE
C i o f Carmel arm I' CERTIFICA EENO 0031201 5M0 2 0
City �vY PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3 1555
35-60000972 /
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AIR
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 (onnhlMnIJ I\/ FAll /14y ��Arl nrrS SHIP r R(
Pd. oy 656 TO 30 V4d,n $f, 5u;Ie 2.20
Veol F A' 9u , 1✓P 5S07g (6r Mel, T/1/ 11-6032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
A.dmlr �ft- dwo yrAlt (2013 20w) ( 2-7, 324.00
ci ;I -IIr,��4. , o-- Pr,r1, r,p i1or, 5er1Pi2JiuC
ko� • Q0—t
IA:I Orbladetr? A .
4
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Send Invoice To: _ � -0
30 W P�nin 5i. 5ui�e 22
(Arme1, 7 // '4 032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT Li PROJECT PROJECT ACCOUNT AMOUNT
g341999 2 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. ,0(//// !
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /°" '�^- R''
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. //^^// •
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /A ...___.,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER -. ,.• ,
II DOCUMENT CONTROL NO. 31555 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE