HomeMy WebLinkAbout33325 Kirby RIskOf 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. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-60000972
PAGE
PURCHASE ORDER NUMBER
33325
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
12/10/2015
Kirby Risk
VENDOR
1815 Sagamore Pkwy
Lafayette, IN 47904
SHIP
TO
Cannel Police Department
3 Civic Square
Cannel, IN 46032
(317) 671-2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42439.00
1 Each Upgrade LED Lighting
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
39,552.18
Sub Total:
39,552.18
$9,552.16
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. 33325
PROJECT
ORDERED BY
TITLE
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. •
I HEREBY CERTIFY TH T THERE IS AN•UNOBLIGATED BALANCE IN
THIS APPROPRIA e 9 ICIENT TO PAY FOR THE ABOVE ORDER.
AMOUNT
$9,552.18
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CLERK -TREASURER
OFFICE COPY