HomeMy WebLinkAbout25742 Gov Connection, Inc. 0 ,�., INDIANA RETAIL TAX EXEMPT PAGE
z5'' ' " 0 I' ' i rme CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 1 A9
^, . ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
t CARMEL, INDIANA4BO322554 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
5117/2013 .
eov Comicctlon, Inc. Cannel Police Department
•
SHIP
VENDOR 3 Civic SqUEITS
TO
732 Milford Road Carmel, IN
•
lerriniack, Nib 030544931 13179 571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION
r.
Account 42302.00
3 Each Fujitsu Brake Roller 8224130 $39.95 $119.85
3 Each Fujitsu Pick Roller 8224148 $29.90 $89.70
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Sub Total: $209.55
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Send Invoice To: ; .,
Carmel Police Department
Attn: Temsa Anderson
3 Civic Square
Carmel. IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT • PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. �-- PAYMENT 5
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS Ti-IE P.O.
' NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
1 SHIPPING INSTRUCTIONS • I HEREBY CERJ,IF,TIATTHERE IS.AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT ON SUFFICIENT 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. t
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 0a06ia@ .@ 13nflra
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
v troll m. yr. I e►..yW
4 2 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY