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CA INDIANA RETAIL TAX EXEMPT I PAGE
JI� ®f 1\' arme l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
\�/ FEDERAL EXCISE TAX EXEMPT
35-60000972 31367
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
•
,111A/20'3
Broad Ripple Lock Service, Inc. Cannel Police Department
VENDOR SHIP 3 Civic Square
TO
2023 Broad Ripple Avenue . Cannel, IN 48032
Irldlanapol s, IN 4870 (317)5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
i ' QUANTITY UNIT OF MEASURE DESCRIPTION • UNIT PRICE I EXTENSION
•
Account 43-501.00
1 Each panic bar repair . $348.90 $348.90
Sub Total: $346410--°
Arkt.-'9....*........'1.4S //1
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S. .......CH. 0 *10
Send Invoice To: .�� (
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
• DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT 4348.90
• NP 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 THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. (�
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
ORDERED.BY &_Y. V -&.-)
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL `\
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ' TITLE N. S'-. - Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I
q • CLERK-TREASURER
DOCUMENT CONTROL NO. 31.3 G 7• OFFICE COPY