HomeMy WebLinkAbout32754 Brownell'sof c
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rmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
32754
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
212/2015
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
Bromclle Inc.
. VENDORS South Front Stroot
Montezuma, IA 50171
CONFIRMATION
SHIP
TO
Cannel Polico Department
3 Civic Square
Carmel, IN 46032
(317) 571
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
Account 42 -0.10
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
4 Each needle nose applicator
5 Each oil
1 Each firedean
8 Each cotton rolls
4 Each lug recess deaning kit
Send Invoice To:
Cannel Polico Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032-
084 -000 -381M
749 -000 -8388
100 - 015- 792Wie
749-000-185M
j749= 004=651!/8
PLEASE INVOICE IN DUPLICATE
$7.99
$5.99
$345.99
$2.99
$34.99
Sub Total:
$31.96
$29.95
$345.99
$23.92
$139.96
$571.78
canreI ���� T ed •
ACCOUNT
PROJECT
PROJECT ACCOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,'ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 327 5 4
ORDERED BY
ti TITLE
CLERK - TREASURER
OFFICE COPY
$5%>MO,UNT
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 SWORN AFFIDAVIT AT
I HEREBY CER T TTH ERE IS ,AN UNOBLIGATED.BALA
NCE IN
THIS APPRO9 1 SUFFICIEt TO
PAY FOR THE ABOVE ORDER.
Id of' Pollee