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31417 Fitzco
I . City ®11 ./' varmel INDIANA RETAIL TAR EXEMPT PAGE .\�1/. I'�y/ CERTIFICATE N0.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31417 35-60000972 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 12117/2013 Fitzco, Inc. Cannel Police Department SHIP q r+e VENDOR 3 CIVIC Square TO 4300 Shoreline Drive Carmel, IN 48032 Spring Park, MN 55384 (317)5712574 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASUREI DESCRIPTION UNIT PRICE EXTENSION Account 42-390.99 10 Each Barrier bags 10x12x4.5 $83.25 $832.50 Sub Total: $832.50 o t, ©.q 4 • t • ' ,, f 1 *P\C'Cr>% 4*:'.'9 0 Cl -0 . Send Invoice To: Se Cannel Police Department Attn: Pat Young 3 Civic Square Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE ' DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Police Dept. PAYMENT $632.50 • A/P 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/HERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIAT FFICIENT TO PA FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. - •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE hie/of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. - 3 a 1 CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY .