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Ci 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 NUMBER
33226
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY • MEMO, PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO,
VENDOR NO.
DESCRIPTION
11/9/2015
Brownelis Inc.
VENDOR
200 South Front Street
Montezuma, IA 50171
SHIP
TO
Cannel Police Department
3 Civic Square
Carmel, IN 46032
(317) 571-2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42.390.10
4 Each Daniel Defense Rear Sight A1.5
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Squana
Carmel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
$71.00
Sub Total:
3284.00
$284.00
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 THERETOE
DOCLJMENT CONTROL NO, 33226
PROJECT
ORDERED BY
TITLE
CLERK -TREASURER
OFFICE COPY
PROJECT ACCOUNT
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.
• HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIA34Q -UFFICIENT TO PAY FOR THE ABOVE ORDER.
AMOUNT
$264.00
hlef of Police