HomeMy WebLinkAbout33204 US SpecialitiesCi
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
PURCHASE ORDER N
33204
THIS NUMBER MUST APPEAR ON INS
VOUCHER, DELIVERY MEMO, PACKIN
SHIPPING LABELS AND ANY CORRESPOND
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION ,
10115/2015
U.B. Specialties
VENDOR
2205 River Road
Louisville, KY 40208
SHIP
TO
Cannel 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 42.350.00.
1 Each corner guards
Ind Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
$480.00
Sub Total:
$480.00
$480.00
DEPARTMENT
I Police Dept.
ACCOUNT
PROJECT
PROJECT ACCOUNT
SHIPPING INSTRUCTIONS
o REPAID.
.D. SHIPMENTS CANNOT BE ACCEPTED.
ICHASE ORDER NUMBER MUST APPEAR ON ALL
PPING LABELS.
l$aROEF\$$\kinnMF AkGkAat\GHPPZEF99,PGTS'I°As
ORDERED BY
TIME
CLERK -TREASURER
OFFICE COPY
AMOUNT
$460.00
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE'A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT/ HERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI • O • :UFFICIENT TO PAY FOR THE ABOVE ORDER.
hlef of Police
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