32430 FitzcoCity l 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
PURCHASE ORDER NUMBER
32430
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
811312014
Fit¢co, Inc.
VENDOR
PO Box 270107
Mlnneapollos, MN 55427
SHIP
TO
Carmel Police Department
3 Civic Square
Cannel, IN 46032
(317) 571-2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 420.99
2 Each Barrier pouch 8.5x10.5 4.50mi1
1 Each Barrier Pouch 18x24 4.5mil
5 Each Barrier pouch 10x12 4.5mil
$ifid41 MdNIA
Carmel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032-
21028
21014
2.1023
PLEASE INVOICE IN DUPLICATE
$300.00
$120.00
$83.25
Sub Total:
$800.00
$120.00
$318.25
$1,038.25.
DEPARTMENT
Cannel Police Dept.
ACCOUNT
PROJECT
PROJECT ACCOUNT
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. 32430
PAYMENT
AMOUNT
$1,036.25
• 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 HA THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP $TI• tUFFICIENT TO PAY FOR THE ABOVE ORDER.
CLERK - TREASURER'
OFFICE COPY .;:;;,