24618 Embroidery PlusCi
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 DER N 1MBE
24618
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
8/252014
y
y
NS--"-------\ - o c
VENDOR
Embroidery Plus
5514 West Washington Street
SHIP
TO
Cannel Fire Department
2 Carmel Civic Square
Cannel, IN 46032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
t.. . . r .... e........
FREIGHT
y
y
QUANTITY I UN ITQF, MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43360.01
303 Each Job Shirts
Send Invoice To:
Cannel Fire Department
2 Carmel Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$47.50
Sub Total:
$14,392.50
$14,392.50
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Cannel Fire Department
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
24618
DOCUMENT CONTROL NO.
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT Rao 92.50
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS T E P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPRf2$- j) ONSUFFICIENT TO AY /OR THE ABOVE ORDER.