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t; 1 ®Ir Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX-EXEMPT 2
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6/1212011
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Intotimotoro, Inc. Caumoi Police Dop1rtmont
VENDOR DOR SHIP 3 Civic Sguan
2039 Craig Road TO Cainoi, IN 46032
St. Louis, IAO 63146 (397) 579
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 430.E .r
1 Each 108L tank 22-0080-01 $193.45 $193.45
Sub Total: $9 93.
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Send Invoice To: '1.11 1, 0
Calm! Pallc° Dopartmont
Attn: Tam Anderson
3 Civic Squaw
Can1101, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. C�j PAYMENT $193.45
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.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.'
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. "/j
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY p
SHIPPING LABELS. Chlo of Pollee
I THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
7 q g 8 CLERK- TREASURER
DOCUMENT CONTROL NO. Q OFFICE COPY