31969 Leach & Russell Ll O lt' ®ff Carmel. INDIANA RETAIL TAX EXEMPT 155 00 PAGE
\�./.1111111 1111 CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31969
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
4130/2014
Leach &Russell Mechanical Cannel Police Department
I VENDOR SHIP 3 Civic Square
9151 Ford Cirtie r° Cannel, IN 48032
Fishers, IN 46038 (317)5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
IQUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-504.00
1 Each replacement fitters $623.02 $623.02
Iyy���� Sub Total: $623.02
00 - - C .
a
{ "Cr Send Invoice To: .,,/ ._Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ````���� ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. ,N)C PAYMENT $623.02
• 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 P:OPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CER AT THERE IS AN UNDBLIGATED BALANCE IN
THIS APPR••RI • SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •d rL
t •PURCHASE ORDER NUMBER MUST APPEAR ON ALL
r SHIPPING LABELS. / Chief of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE -
ANDACTSAMENDATORYTHEREOFAND SUPPLEMENT THERETO. L
CLERK-TREASURER
DOCUMENT CONTROL NO. 31969 OFFICE COPY