31532 Safety Systems City O Carmel INDIANA RETAIL 031 EXEMPT
15500 PAGE
111r I'�/ CERTIFICATE NO.003120155 002 0
I PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31532
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
311712014
Safety Systems Cannel Police Department
VENDOR SHIP 3 Civic Square
4113 Turner Road TO Cannel, IN 46032
Richmond, IN 47374 (317)5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE(' DESCRIPTION UNIT PRICE I EXTENSION
Account 44470.99
1 Each siren amplifier $348.00 $348.00
Sub Total: $348.00
• \
�1 yea.
kr I Q) (1) illii
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. )C_C> PAYMENT $348.00
• AT 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 H TX ERE IS AN UNOBLIGATED BALANCE INE
THIS APPROPRI UICIETO 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. hlef of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 * TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT TTHERETO!
DOCUMENT CONTROL NO. 31532 CLERK-TREASURER OFFICE COPY
OPY
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