24586 I A F C �V i ®f Carmel INDIANA RETAIL TAX EXEMPT PAGE \ �� \
I(�,/ CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 24586
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
4/302014 `Z-c,--.y r_CraQ- N,,.>.
V
IAFC - Carmel Fire Department
VENDOR C/O Experient, INC. SHIP 2 Carmel Civic Square
TO
PO Box 4088 Cannel, IN 46032
Frederick, MD 21705 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT •
QUANTITY OF MZ3SUR1 DESCRIPTION UNIT PRICE I EXTENSION
Account 43-570.04
1 Each Registration " \S\off �c A> $435.00 $435.00
�`‘\��cto� Sub Total: $435.00
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Send Invoice To: ,�lflf�O UU .de "�0
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Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
Cannel Fire Department PAYMENT $43500
• 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. • ORDERED BY-- mac'—l,`�_... C, ��---- -_,..!--
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ��—t=•n �"
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT TTHERETO. v
24586 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY