24607 Steven R JenkinsCl of Carmel
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 N.N. N
PURCHASE ORDER NUMBED
THIS NUMBER MUST APPEAR ON INVOICES, AP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
71172014
VENDOR
Steven R. Jenkins
6680 East 21st Street
Indianapolis, IN 46219-
SHIP
TO
Cannel Fire Department
2 Carmel Civic Square
Cannel, IN 46032-
(317) 571 -2622
COONF1RMAPON
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY i UNIT OF,MEASURE IN
DESCRIPTION
' UNIT PRICE
EXTENSION
12 Ea cr7r-t rlife
Send Invoice To:
Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE/
$34.99
$419.88
DEPARTMENT
Carmel Fire Dept.
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
10267002
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.
24607
DOCUMENT CONTROL NO.
PAYMENT $419.88
• 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 PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFI ENT TO PAY FOR THE ABOVE ORDER./
ORDERED BY \ a d� �� V /
TITLE \ v--ooy
K--)
CLERK - TREASURER
OFFICE COPY