HomeMy WebLinkAbout33039 Kustum SignalsCity of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155x002 0
FEDERAL EXCISE TAX EXEMPT
35-60000972
PAGE
PURCHASE ORDER NUMBER
33039
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION '
8/2412015
Kustom Signals
VENDOR
P.O. Box 411882
Kansas City, MO 84141.1882
SHIP
TO
Carmol Police Department
3 Civic Square
Cannel, IN 48032
(317) 571-2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43.500.00
2 Each radar repair
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032 -
PLEASE INVOICE IN DUPLICATE
$133.00
Sub Total:
5288.00
$288.00
DEPARTMENT
Cannel Police Dept.
ACCOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C D. SH PMENTS 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. k.
DOCUMENT CONTROL NO. 33039
PROJECT
ORDERED BY
TITLE
CLERK -TREASURER
OFFICE COPY
PROJECT ACCOUNT
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 T PROPER SWORN AFFIDAVIT ATTACHED.
I HEREBY CERT THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROF�H , ION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
AMOUNT
$268.00