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A INDIANA RETAIL TAX EXEMPT PAGE
IL}� off °�r (� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
JAY Jl \�//C�JL \1.�1i
FEDERAL EXCISE TAX EXEMPT
35-60000972 %7E1
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
8110/2013
Labor Relations Information System Carmel Police Department
SHIP
VENDOR TO 3 Civic Square
S021 NE Broadway Carmel, IN 40032
Portland, OR 07232 3171 579
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 43.652.00
1 Each subscription $150.00 $1 50.00
Sub Total: $150.00
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Send Invoice To: '
Carmel Police Department
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Attn:Teresa Anderson
3 Civic Square
Cannel, IN 45032 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
','Can el Police Dept. a,,, PAYMENT $150.00
,,,,,i,?' y, • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
1.411 ,,, NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
'44:(I' ,e:YV j VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
'`fit c SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•, THIS APP 10' SUFFICIENT O PAY FOR THE ABOVE ORDER.
rr�k,h-�HIP REPAID. ,,
i C O D SHIPMENTS CANNOT BE ACCEPTED.
3''1s PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
3 SHIPPING LABELS . _
t ,THIS ORDER 74ISSUEDD4IIN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE //CPak P a Pnlh
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
r _7 F ? r 25747
., �A i ``r; CLERK-TREASURER
"DOCUMENT CONTROL NO. OFFICE COPY