HomeMy WebLinkAbout33038 Lafayette InstrumentCi
of Gemmel
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
33038
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
8/24/2015
Lafayette Instrument
VENDOR
P.O. Box 5729
Lafayette, IN 47904
SHIP
TO
Carmel Police Department
3 Civic Square
Cannel, IN 48032
(317) 5712559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43-500.00
1 Each Bibkit
Send Invoice To:
Cannot PoIlce Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032-
787480
PLEASE INVOICE IN DUPLICATE
$20.00
Sub Total:
$20.00
$20.00
DEPARTMENT
Carmel Police Dept.
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. 33038
PROJECT
ORDERED BY
TITLE
CLERK -TREASURER
OFFICE COPY
PROJECT ACCOUNT
PAYMENT
AMOUNT
820.00
• AIP 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 P OPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY J TTHERE IS AN UNOBLIGATED BALANCE IN
Pj
THIS APPROIIry I(5 SUFFICIENT 7j P%CFOR THE ABOVE ORDER.