HomeMy WebLinkAbout25613 Roberts' Distributors LP I INDIANA RETAIL TAX EXEMPT PAGE
City o ,{. °,�rmel CERTIFICATE NO.003120155 002 0
of lVS 11 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 25693
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
162013 I
Roberts' Dlstrdbutom LP Carmel Police Department
VENDOR TOIP 3 Civic Squaro
256 S. Meridian Street Carmel, IN 4
Indianapolis, IN 46225 (397)5712
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS . FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42420.09 ,
4 Each UV filters HOY-00263CE $15.00 $80.00
6 Each leaning kits PRO-14080 $8.07 $41.82
2 Each memory cards -,,, i t . - $49.97 $99.94
4 Each UV filters ,.± 'I $13.00 $52.00
������! ".# dub Total: $253.76
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Send Invoice To: ~ � 7 ._ " °. 0 ,
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Dept. (.-6S PAYMENT $253.76
• 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 THATTIjE,w IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIONS FFI.IENT 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.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE CH_ A!Psllt'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 0 1 3 CLERK-TREASURER
DOCUMENT CONTROL NO OFFICE COPY