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1\ .1 � \)/ o Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
�1/ a• y ,a- �/ 1�La FEDERAL EXCISE TAX EXEMPT
35-60000972 25365
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
7/95/2013
Cops Pius Carmel Police Department
VENDOR SHIP 3 Civic Square
3801 23rd Avenue, Suite 407 Carmel, IN 48032
Astoria, NV 11105 (317)571-2559
CONRRMA11ON BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Account 43°560,01
14 Each pistol holsters $112.88 $1,577.24
Sub Total: $1,577.24
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e ""�/l Send Invoice To:
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
Cannel Police Dept. d�� PAYMENT $1,577.24
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF TIE UCHER AND EVERY INVOICE AND
VOUCHERH S,THE PROPERWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREDY IFV THAT T 1ERE IS AN UNOBLIGATEO BALANCE IN
THIS AP P TIONS FFICIENT 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 hie?of Pollen
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
5 3 6 5 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY .