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HomeMy WebLinkAbout27916 Kustom Signals i Carmel INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. 003120155 002 0 i PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 27016 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 0!1312011 e Kustom Signals Ci1miol PoIIce Department VENDOR SHIP 3 Civic l quar+a P.O. Box 411182 TO Carmel, IN 48032 Kansas City, PAO 64141 -1182 (317) 6714550 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 41600.00 1 Each repair to radar $167.00 $967.00 Sub Total: $167.00 500 ffifir--- t i i ..C\ f ,0 r.. 11, I o Serial flP02221 RM 4 SR B 4 Send Invoice To: J Carmel Police Department Attn: Teresa Anderson 3 Civic Square I Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT $167. 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 ROP R SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIF HERE IS AN UNOBLIGATED BALANCE IN THIS APPROP TI FFICIENT TO PAY -FOR THE ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. hie! of Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 2 9 OFFICE COPY