HomeMy WebLinkAbout25929 Lafayette Instrument INDIANA Ci 't 1 f Carmel CERTIFICATE NO 0 31 5 020 PAGE
\1/ PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 25929
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES. A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SUPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
L FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/9/2011
Lafayette Instrument Carmel Police Department
VENDOR SHIP 3 CIVIC Square
P.O. Box 5729 TO Cannel, IN 48032
Lafayette, IN 47904 (317) 5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-500.00
1 Each Motion Sensor for polygraph $470.25 $470.25
Sub Total: $470.25
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Send Invoice To: �0
1
Cannel Police Department
I Attn: Teresa Anderson
3 CIvIc Square
Cannel, IN 48032• PLEASE PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
Carmel Police Dept. PAYMENT 4470.25
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HA T E PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY C l THAT THERE I AN UNOBLIGATED BALANCE IN
THIS APP 1 •,171 ION SUFFIC T TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING. LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 9 2 9 CLERK- TREASURER
DOCUMENT CONTROL NO.' OFFICE COPY