HomeMy WebLinkAbout32776 Galls an Amamark CompanyCi
of Carmel
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
1
PURCHASE ORDER NUMBER
32777
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
. DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
211612015
Oahe, An Armel Company
VENDOR
2428 Network Plaice
Chicago, IL 60673 =1224
SHIP
TO
Cannel Police Department
3 Civic Square
Carmel, IN 46032
(317) 5712659
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42.12
8 Each Application Tourniquet
Send Invoice To:
Carmel Police Department
Attn: Pact Young
3 Civic Square
Carmel, IN 48032-
FA240 BLK
PLEASE INVOICE IN DUPLICATE
$27.19
Sub Total:
$163.14
$183.14
DEPARTMENT
Cannel Police Dept.
ACCOUNT
QS
c-i
SHIPPING INSTRUCTIONS
PROJECT
PROJECT ACCOUNT
• 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. 32776
ORDERED BY
,TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
• A/P 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.
• I HEREBY CERTIFY THAT THERE I 'AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFB(C E„ TO PAY FOR THE ABOVE ORDER.
AMOUNT
$163.14