HomeMy WebLinkAbout33249 Galls LLCCi of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
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INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-60000972
PAGE
PURCHASE ORDER NUMBER
33249
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
121112015
Galls, LLC
VENDOR
24298 Network Place
Chlcago,'IL 80673-1242
SHIP
TO
Cannel Pollee Department
3 Civic Square
Carmel, IN 48032
(317) 5712559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE 1
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42-0.99
4 Each Intoximeters FST Mouthpiece LE907
Send Invoice To:
Carmel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032 -
PLEASE INVOICE IN DUPLICATE
$56.94
Sub Total:
$227.78
$227.78
DEPARTMENT
Carmel Police Dept.
ACCOUNT
PROJECT
PROJECT ACCOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
' AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 33249
ORDERED BY
TITLE
CLERK -TREASURER
OFFICE COPY
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY���T/HAT� TCTHERE I5 AN UNOBLIGATED BALANCE IN
THIS APPROPAIM4QI ,SLJ$FICIENT TO PAY FOR THE ABOVE ORDER.
AMOUNT
$227.78