31980 GHS Inc City ®f /` v2IJ�C� INDIANA RETAIL TAXEXEMPT
PAGE
1111 I\�/ CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31980
35-60000972
ONE CIVIC SQUARE . • THIS NUMBER MUST APPEAR ON INVOICES.NP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO. PACKING SLIPS.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
1 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5120/2014
GHS, Inc. Cannel Police Department
VENDOR SHIP 3 Civic Square
8349 North Washington Street TO Cannel, IN 46032
Sheridan, IN 46089 (317)571.2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.501.00 .
6 Each conversion of fixtures to LED U4ubes $156.75 $940.50
Sub Total: $940.50
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Send Invoice To: eJ ./ �yr /yf'Or
Cannel Police Department ././/�1
Attn: Pat Young
3 Civic Square
Cannel, IN 45032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. (.. _"3 PAYMENT 1940.50
• 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 HER TH T ERE UIGATED BALA
THIS APPROPRIAT EBY CERTIFY FFICIENT IS TO AN P AY NOBL FOR THE ABOVE ORDER.NCEIN
•SHIP REPAID.
i.C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ./
SHIPPING LABELS. a of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE f
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
31980 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY
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