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32037 Cardiac Science Corp Ci i \�/ of Carmel CERTIFICATE NO. 03120155 002 0 PAGE EXEMPT +- �' Carmel PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 32037 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 512812014 . AED replacement parts Cardiac Science Corporation \` Cannel Communication Center VENDOR A) 7 W°2-2 402-0 "'V U 'USCAl +mil • SHIP 31 1st Ave NW ,• TO • idAia ka SA441 A&.. 6-3/8p- Cannel, IN 46032 (317)571-2576 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION r Account 42370.00 1 Each Adult pads(5) $155.00 $155.00 1 Each Battery $220.00 $220.00 1 Each Child Pads(2) . �/ //1r $124.00 $124.00 - - --/ -1� Sub Total: $499.00 � 0 . IA � `' -o — 1 's 011111K . /Q-. .-. •••o�tS1y p©M Send Invoice To: '�Jr,� 1r Carmel Communication Center • 31 1st Ave NW Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1115 Communications PAYMENT $499.00 • 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 PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS AP.•ROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 0 • PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS 4 L(//J •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1905 TITLE —fi / AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 320 37 OFFICE COPY •