24576 Smiths Detection City (o f Carmel INDIANA RETAIL TAX EXEMPT PAGE
1�11J ,11r CERTIFICATE NO.003120155 002 0 \ °`- ER
PURCHASE ORDER NUMBER
FEDERAL>EXCISE.TAX EXEMPT 24576
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 --- --
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4/102014 • \�C_L_��\Q
. Smiths Detection Cannel Fire Department
VENDOR SHIP 2 Cannel Civic Square
` TO
21 Commerce Drive Cannel, IN 46032
Danbury, CT 06810 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY 'UNIT OF MECASURE, DESCRIPTION UNIT PRICE EXTENSION
Account 102-670.04
.1 Each Clear Sampler Demo Kit $210.00 $210.00
• Sub Total: $210.00
1
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Send Invoice To:
1l11l- 1
Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Fire Department PAYMENT $210.00
• 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. ��\\�-
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY \\\\1 q
SHIPPING LABELS.
.---------,N, `\\' /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �~`\--+d.`v\ _ \ `\5�Y t
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V F
7 6 CLERK-TREASURER
2 A
If DOCUMENT CONTROL NO. OFFICE COPY