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0 INDIANA RETAIL TAX EXEMPT PAGE
]lty of ,Carmel. CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
e \l•/ FEDERAL EXCISE TAX EXEMPT 25922
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
1219/2011
National Law Enforcement Supply Carmel Police Department
VENDOR 1 SHIP 3 Civic Square
226 North Allen Street TO Cannel, IN 48032
Albany, NY 12208 (317) 571 -2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-389.00
1 Each 5.2' x 7.2' Black BVDA Gel Lifters B11000 $18.95 $18.95
1 Each 5.2' x 7.2° White BVDA Gel Lifters 014000 $18.95 $18.95
1 Each Tri-Tech Zar -Pro Activator Solution LC -AS-8 59.32 $9.32
3 Each Tri Tech Zar Pro Blood Lifting Strips P,8X8 $41.71 $12513;
1 Each NIK Test C Barbiturates Pouch (600807‘:•• 31 4 $23.17 $2317
1 Each Test B Confirming Test Opiu Alkaloids 8008072 ..`,2/ $14.39 $14.39
1 Each TestAFR -14 Q 8008071 $14.38 $14.38
1 Each EAGray forNIKMaste� P• 1004854 j v .CS Wil $15.99 $15.99
10 Each NIK Test E Marijuana Pouch /8006075 t1\ ,ys $23.58 $235.80
.I- 1 1 Sub Total: $478.08
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Send Invoice To 0 Ni
Cannel Police Department I�II•
Attn: Teresa Anderson
3 Civic Square
Carnal, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. at.°3 PAYMENT 5476.08
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER I5 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT T ERE IS AN UNOBLIGATED BALANCE IN
PPROPRI
THIS A 7t PICIENT 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. C l
C lef of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 25922 CLERK-TREASURER
COPY