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31757 Victory SUn City 1111 0 ty ® INDIANA RETAIL TAX EXEMPT PAGE f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2 I '1.5 7 35-60000972 3 T 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 2 /cJ, il Vic.-rDN 3IA✓I, -Jo( . . coif uF Carrnt.i • VENDOR SHIP CurylrVlvVll Rela7,Dns lDeP+• p. 0. N 199II `1 TO •Thaianapo%is, Z0 41v21c Cu rUA, t_s q �urrWl, Zn� ymo32 • CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION • 1Pn tsslovlal Seyvic,s - Event 'nlav1Y11nis g Relatrcl jacks $S0, oo3.o0 AI+ 0F. Whet Fh+rornohl l k a Ukiabir.Fro- f 1i • 01- r cvt✓t o S -0ti - 0 cQ �rl, � , . Cf, rt :RI p! :,x ISO i • 'q I •• ti Send Invoice To: f��%O M ©O-l 1203 /4'55-4003 ' � �)/� Irv) 060. o`' PLEASE INVOICE IN DUPLICATE • DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT • A/P 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 THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIATION FICIENLTTHE ABOVE ORDER, •C.O.D_SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY n • PURCHASE SR NUMBER MUST APPEAR ON ALL SHIPPING LABELS. LABELBELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS'1945 I TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ' :‘' 3 1 7 5 7 CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY