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INDIANA RETAIL TAX EXEMPT
$*/0!-)!$&.,(+
CERTIFICATE NO. 003120155 002 0PURCHASE ORDER NUMBER
104501
FEDERAL EXCISE TAX EXEMPT
35-6000972
ONE CIVIC SQUARE
:0195;4*-84;9:)77-)86515<61+-9#)%7
<6;+0-8#,-31<-8>4-46#7)+215/93179#
CARMEL, INDIANA 46032-2584
9017715/3)*-39)5,)5>+688-9765,-5+-
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/18/2020375319
3OE SCIENTIFIC LLC General Administration
VENDOR484 E CARMEL DR SHIP 1 Civic Square
TO
SUITE 376 Carmel, IN 46032-
CARMEL, IN 46032 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
51553
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
Account:
Each
Each
Each
Sub Total
Department:1205Fund:0Capital Lease Fund
Account:44-640.00
Each
1Iggy Hand Devices$125,790.00$125,790.00
Each
1Iggy Hand Devices$0.00$0.00
Sub Total$125,790.00
Send Invoice To:
Dept of Administration
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$125,790.00
+"0($).
"%$2716',)3'%0015&)%22317)(*132%9/)0560.)445,)2#1#06/&)3-4/%()%
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2%351*5,)716',)3%0()7)39-071-')%0(716',)3,%45,)2312)348130
"901778-7)1,$
%**-(%7-5%55%',)(#-,)3)&9')35-*95,%55,)3)-4%0601&.-+%5)(&%.%0')-0
"+$6$,$90174-5:+)556:*-)++-7:-,$5,-4%223123-%5-1046**-'-)05512%9*135,)%&17)13()3#
"7;8+0)9-68,-85;4*-84;9:)77-)865)339017715/3)*-
":01968,-8199;-,15+64731)5+-=1:0+0)7:-8((#)+:9&('
ORDERED BY
)5,)+:9)4-5,):68>:0-8-6.)5,9;773-4-5::0-8-:6$
James CriderJames Crider
TITLE
Director of AdministrationDirector of Administration
104501
'10531.01#
CONTROLLER