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31983 Great Lake Emergency City o f Carmen CERTIFICA CERTIFICATE 003120155 M 020 PAGE �1/ �a PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31983 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P. 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 5123/2014 . cm Great Lakes Emergency Products Carmel Police Department VENDOR SHIP 3 Civic Square 3444 Breeze Pointe Court TO Cannel, IN 48032 • Linden, MI 48451 (317)5712559 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.580.02 1 Each shipping charges $30.00 $30.00 1 Each 38-0C SprayHolder Basket Weave Black 384.4115 $1,722.00 $1,722.00 Sub Total: $1,752.00 • Jl�l,/ rrr�.�, in. ,"a%:...- se. /11 *i . � ° ti .-.. -4.A11 Quota 014090 d„�- 0 ©0 �� Send Invoice To: ' - Carmel Police Department r��"�� Attn: Pat Young • 3 Civic Square Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. \ C5 PAYMENT $1,752.00 • \��J11 • AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND- VOUCHERHASTHEP PE'SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY RE IS AN UNOBLIGATED BALANCE IN THIS APPROPRI 0 S ' ICIENT TO PAY •- HE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL C � t SHIPPING LABELS. a1•Police • •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE C i AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. •• 1 CLERK-TREASURER - DOCUMENT CONTROL NO. 31983 OFFICE COPY