32068 Thomas & MeansCi
of Carm
ONE CIVIC SQUARE.
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
' INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
3
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO. •
DESCRIPTION
X94
Monne Moans
VENDOR
P.D. Ron 2036
Hunter viile, NC 20890
SHIP
TO
Cannel Pollee Department
3 Citric Swam
Camel, IN 46032
(319) 5►9
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
1
DESCRIPTION
UNIT PRICE
EXTENSION
Account 00590.00
1 Each training
Lt Harding / Managing Polio Discipline, 1 0/20 10/22/14 ln�K� sts yM
Send Invoice To:
Cannel Pollee Department
Attn: Pat Young
3 Civic Square
Carmel, IN 40032=
PLEASE INVOICE IN DUPLICATE
$405.00
Sub Total:
$405.00
$405.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Carrel Police Dept. C�3
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 32068
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
$465.OD
• 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 PROP SWORN AFFIDAVIT ATTACHED.
I HEREBY CERTIFY T •T ERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI 4 $U FICIENT TO PAY FOR THE ABOVE ORDER.
of of Police