31758 Party TIme City ty of f Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE
1\\1/.J111 1111 CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3 175
C/
35-60000972
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
Par hi 7;nit, ReM7ti1 COld OF Carnal
VENDOR 92516 NorTh KeyS+o n.0 Fl"✓7• SHIP CD Wu rn unl 122 ICO11 11S Oe pi-.
TO ndi 1puli5, OnC COL Sebuarc 4a 24o
' ca✓ I' i• 1.N L-IUo3Z
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION 1�e L� UNIT PRICE q� I EXTENSION
�Cylt-a.1 rtcn'IS Rrld S?VVIUS OS t er Covrhac± $ Iii 400. co
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Send Invoice To: } Os"" �0� 7 �
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12o3 /1-135gob3 a /2� U °°
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ' ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
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 TfH1RE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFI M,TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. // /�
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /0
< SL
4_5
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL /
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACT5.1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 317 58 CLERK-TREASURER
COPY
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