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�r y q.i �a PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 28121
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
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
3128/2012
The Uniform House, Inc. Carmel Police Department
VENDOR SHIP 3 Civic Square
TO
1927 N. Capitol Avenue Carmel, IN 46032
Indianapolis, IN 48202 (317) 5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY p UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43- 660.01
24 Each Carmel Police Dept badge shirt Carmel- Badge -G $73.12 $1,754.88
40 Each Carmel Police Dept badge shirt Carmel Badges $70.54 $2,821.60
Sub Total: $4,576.48
C3 �q
i
Send Invoice To "1 j
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $4,576.48
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 PRO ER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY HA HERE IS AN UNOBLIGATED BALANCE IN
THIS APPR02 T N FFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL of SHIPPING LABELS. lef YI Poll C.e
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
C. CLERK TREASURER
DOCUMENT CONTROL NO. 26121 OFFICE COPY