31799 Carmel Utilities C l \�f !ti'
f Carmel CERTIFICATE RETAIL TAX EXEMPT 0 3120155 002 0 PAGE
\1/ u- y \ti/wr qs 1LLL PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3 / 7 9 C
35-60000972 7 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 (drhie I V/ # I /i Ie" SHIP (R/ /
1 0 I / ,11\' 11 /,f TO 7229 v 4A,n / , JN I 1 r 2.26
(Arm I ,, I4 Lf 60)T rmile!/ TM q 603
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
I ( R ( ShnrP / ren U(-{ iI,iIPs t So, No11
/1/ Al (116( q (ItIll Crr/c ( I;61)ih9
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Send Invoice To: �I In R9 Cg 10
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30 V I1alb 5-1 Suile 22 j)
(one I , T4/ ii CO)?
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
/ 80) 4352 500 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.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL /`
SHIPPING LABELS. .41;1
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE '/!�/A A V//! '-C-"._"
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31799 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
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