31516 Range Systems 0 - INDIANA RETAIL TAX EXEMPT PAGE
uty ®1f Carmel rmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
IIILLL �1/Laxu �1r 111LLL FEDERAL EXCISE TAX EXEMPT 31516
35-60000972
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
I _
PURCHASE ORDER DATE DATE REQUIRED 1 REQUISITION NO. . VENDOR.NO. DESCRIPTION
2/26/2014 •
Lange Systems Carmel Pollee_Dapartiment
. , ,�tt,>x .-. - �%r-,,
VENDOR • SHIP ;., IVICegNare
5121 VWnnetka Avenue North TO 2 C moi,IN48032 '
. New Hope, MN 55428 K C 3174 571`- 1 S-11 - ZS��
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE] DESCRIPTION UNIT PRICE EXTENSION
1
Account 00-570.00 1
1 Each Dura-Bloc 881008 $10,000.00 $10,000.00
Sub Total: . $10,000.00
•
0100 5, ,c_4_...it
11: .
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end Invoice To: ✓ - �'° "" f/
o
Cannel Police Department
Attn: Pat Young .
3 Clvla Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE •
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. c3C.( PAYMENT $10,000.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER.SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY T ' TH.RE IS AN UNOBLIGATED BALANCE IN
THIS APPROPflI F I CIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL,
SHIPPING LABELS. ' Net of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 . TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 31516 CLERK-TREASURER .
OFFICE COPY