31990 EMP Technical Group Ci ty of Carmel el� RTIFICATE ETA
003120155 002 0 PAGE
�1/ PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31990
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,MP
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
411712014
EMP Technical Group Cannel Police Department
VENDO Ben VanAistine SHIP 3 Civic Square
15309 Stony Creek Way TO Cannel, IN 48032
Noblesville, IN 48080 (317)571.2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44870.99
1 Each Xenon 1900A-ea-Imaging Scanner 19000SR-2USB $282.50 $262.50
1 Each USB Cable -8.5 length 42208161-01E $14.50 $14.50
Sub Total: $277.00
ot, . ...,,,, ,
,„ .„, ,..,
!I.,
,
* i a
•
tp- 14 "-- ---..0 te
Send Invoice To: a'-._ _.__ j
Cannel Pollee Department j
Attn: Pat Young
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ,, ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
Cannel Police Dept. T PAYMENT 3277•00
• 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 PROP R SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY T HERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP FFICIENTT .PAY FOR THE ABOVE ORDER.
• SHIP REPAID.
•COD.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. let of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
t
31990 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY