20004 Vine & Branch City INDIANA RETAIL TAX EXEMPT PAGE /
C of Carmel ,ity o 1\ .armel .. CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT ��oo n/` /
35-60000972 `7
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
/-.a1/-/17/ /-02477/${ fit 90a <1., A ot 4,J,/
(/i diE $ iiefi W - --1,-)e-• PC0K-6111t&- /u/h
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VENDOR T ( / E. /Y�O , SHIP la/020 /3(1�>lcsi/,/2 y+kuJy
TO
dAt2m,O Sl q&on ef/,�< �9 x/(0033
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
36
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
/ 2£� I��nioJ�/ 4 7)-00. %
Off Fie, Are-
4 Co : ;( t
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Send Invoice To: j
if
7SO4,
PLEASE INVOICE IN DUPLICATE
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DEPARTMENT // ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
/201 4s r o 9 CTC) 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 APPROPRIA ON:SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. / I
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL I ORDERED BY A
XLn / •
SHIPPING LABELS. - �A//L�/- /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
20004 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY