32213 Engineer SupplyCi
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
32213
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
12/412014
f
Engineer Supply
VENDOR
21430 Timberlake Rd Unit 349
Lynchburg, VA 24502
SHIP
TO
Cannel 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 42-390.99
1 Each Strobe Prism Assembly
Send Invoice To:
Carmel Poke Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032-
ES4130- 8402 -03 -FLB
PLEASE INVOICE IN DUPLICATE
$327.23
Sub Total:
$327.23
$327.23
DEPARTMENT
Cannel Police Dept.
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
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. 32213
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
• PAYMENT • $327.23
• 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 PROPER SWORN AFFIDAVIT ATTACHED,
• I HEREBY CERTIFY TH T THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP• I•u SUFFICIENT TO P FOR THE ABOVE ORDER.
A
/Chief of Police