31984 DARE Indiana A �' n INDIANA RETAIL TAX EXEMPT PAGE
•
C i:'-\v of Carmel CERTIFICATE N0.003120155 002 0 PURCHASE ORDER NUMBER
it ref FEDERAL EXCISE TAX EXEMPT 31984
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
512712014
DARE Indiana, Inc. Cannel Police Department
VENDORGOIf Tournament SHIP 3 Civic Square
10293 North Meridian Street, Suite 175 TO Cannel, IN 48032
Indianapolis, IN 48290 (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00-852.00
1 Each golf outing $500.00 $500.00
Sub Total: $500.00
. 4. �:.
1
1 C ,
cSi), -60 0 tkq •-...W.....1+,0 •
Send Invoice To: f�fJ ——- J �
Cannel Police Department
Attn: Pat Young
• 3 Civic Square
Cannel, IN 48032- • PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. o�s PAYMENT •_• 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 PR P R SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • IHEREBY CERTIFY HERE IS ANUNOBLIGATEDBALANCEIN
SHIP REPAID. TFOR THE ABOVE ORDER.
•COD.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. olice
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
•AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. OFFICE RETO. II 1, I
DOCUMENT CONTROL NO. 31984 CLERK COPYR
CE COPY