32218 Less LethalCity 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
32218
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
121412014
Less Lethal, LLC
VENDOR
5463 Palisades Drive
Cincinnati, OH 45238.6617
SHIP
TO
Cannel Police Department
3 Civic Square
Cannel, IN 46032
(317) 571 -2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
1
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42 -390.10
8 Each Speed Pod Loader
1 Each Fill Adapter 0 -Rings
1 Each 13 cu in High Pressure Bottle 0 -Rings
8 Each 13 Cu In High Pressure Air Bottle
1 Each Live X Hot Powder Projectiles
1 Each Host Voucher
Send Invoice To:
Camel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032-
PA- SPEED -1
PM-OR -FASO
PMr.OR 00
PA -HPA$3
(13,PIR37510X
PLEASE INVOICE IN DUPLICATE
$11.00
$11.00
$34.00
$119.00
$1,854.75
($500.00)
Sub Total:
$88.00
$11.00
$34.00
$952.00
$1,854.75
($500.00)
$2,239.75
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
Cannel Police Dept.
ac3
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. 32218
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
AMOUNT
$2,239.75
• 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 THER IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SU FIC NT TO PAY FOR THE ABOVE ORDER.
of of Police