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INDIANA RETAIL TAX EXEMPT
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JJnll CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31410
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
1211712013
Cherish Center Cannel Police Department
VENDOR SHIP 3 Civic Square
TO
493 Westfield Road, Suite C Cannel, IN 46032
Noblesville, IN 48060 (317)571-2574
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43590.03
1 Each CAC investigative support $5,000.00. $5,000.00
Sub Total: $5,000.00
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Send Invoice To: „ ._..-.. ((
Cannel Police Department �J
Attn: Pat Young
3 Civic Square
•
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT - PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT $5,000.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PQ.
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 HERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPFIA710 FFICIENT TO P Y"FOR THE ABOVE ORDER.
•SHIP REPAID
•C 0.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 hid of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 3q 141 CLERK-TREASURER
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