31798 Davis Industries, Inc C�0 PAGE
� ,_ '"\` _III� e� CERTIFICATE ENO 0031(20155 002 0
JJJ444--- �/CC{V•�/.LL JJJIII PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3 / 7C) v
35-60000972 7 /0
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. ,s DESCRIPTION
VENDOR DIkvI S 1 nJL�j,r,Nf, Il(. SHIP ( R( P
rUlp W l��s��1VPr 0� 30 ti! 111601 )-I , 5ull 221)
ZI,d1 (11, 061 5 ,1,4/ 4,6268
<Aro,P/, I/y 11 doY2
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
uOr(N0 40 l C 'rLy /JAN tirAPtii( s µ, 250.
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Send Invoice To: ( I?( �" ��
3u U/. 4(I,II 5/., )r�i{n ._
(61" 1)1 I,- /I/ q 40 32
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
IP/ 435 0900 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. //'y/y
•C O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY NL
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LRBELU. / \ 1/
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 • TITLE I/LV_' 7/Yl�//p""-:+-. _
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31798 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE