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240775 01/07/15 Cqq CITY OF CARMEL, INDIANA VENDOR: 369013 ONE CIVIC SQUARE OREGON RULE CO CHECK AMOUNT: S********68.36* CARMEL, INDIANA 46032 PO BOX 1752 CHECK NUMBER: 240775 N r OREGON CITY OR 97045 CHECK DATE: 01/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 71858 68.36 OTHER MISCELLANOUS Oregon Rule Co. Invoice P.O.Box 1752 Oregon City,Oregon 97045 Date InVOICe # OREGON RULE CO. ph: (503)657-8330 fax: (503)655-8040 12/23/2014 71858 Bill To Ship To Carmel Police Department Carmel Police Department 3 Civic Square 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 Attn: John Elliott P.O. No. Terms Ship Date Payment Due Ship Via 141218 Net 30 12/23/2014 1/22/2015 UPS Ground ITEM DESCRIPTION QTY LIST AMOUNT BCFM-WH+BOX Credit Card Scale, 3" & 8cm Nvith White 13 0.80 10.40 Box, Plastic, BCFM-WH18/PG Business Card Scale, 2x3 3/8", 8 0.80 6.40 Fractional Metric Scale,18% Photo Gray, 4RFM-WHO12LX50R Fractional Metric Roll Tape, 1" Wide, 3 7.50 22.50 504" Length, repeats every 12", 50 repeats BCC0520/3550 Bruise Color Chart, 2 cards in a set,New 3 6.95 20.85 Style Shipping UPS Ground 1.0 Lbs. $8.21 1 8.21 8.21 Shipment Date: 12/23/2014 Tracking# 1 Z9X71620341463332 Thank you for your business. Tota $68.36 All ORC products are 100%guaranteed for Form,and Function.Usable goods returned within payments/Credits 60 days are subject to a 15%restocking fee.Past due invoice beyond 60 days are subject to $� �� customer's account to LOSS of Net Terms.and orders"In Process"will be put on HOLD.A 10%surcharge will also be added to any subsequent future orders. Balance Due $68.36 12/30/2014 10:44 5036558040 PAGE 01/01 PAS Form Request for Taxpayer ow.Form to the ev IR ,AMpiM 2013) Identification Number and Certification requettbor.oo not MrRasn,■e°ss,�e`�n &end to the IR& mmnm la Nowa an your Int arm to rotten) ?-A=15 Co M PlkN y_ C4 Bustraw nwnterdweordm orntty agora.It dnrwere From'w Chock aooroprlr.box to Irda'a1 tae eWaafoalbn; 6xampuory pee Inetruetsxte) 13In4Maapr—prwwts ❑ cCmareeon Recorporalion ❑ Ponwo ❑Tnevaslate Er.npt payee fAdo M ani a ❑ LWOW e.bllly mmpany,Erdw Ila tax elwWbaaon pc-cotpom n,Sr9,mrporeabn,p.WrsahI0 Eamplbn Nam FATCA roWnM ❑ txrrarr lace Irofnobrw v each pl arrA AOA®(nxMw,arca.we ew.or wlro no.) 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WARRANT NO. ALLOWED 20 Oregon Rule Co. IN SUM OF $ P.O. BOX 1752 Oregon City, OR 97045 $68.36 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 71858 42-390.99 $68.36 I hereby certify that the attached invoice(s), or I I bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Wednesday, December 31, 2014 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund