32248 Kustom Signalsof 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
32248
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
12/11/2014
Kustom- 8tgnes
VENDOR
P.O. Box 411882
Kansas City, MO 84141.1882
s>Cty Y•'�j
p
SHIP
TO
Cannel Police Department
3 Civic Square
Cannel, IN 48032
(317) 5712559
CONFIRMATION
BLANKET CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43-600.00
1 Each repair to radar
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032-
PLEASE INVOICE IN DUPLICATE
$184.00
Sub Total:
$184.00
$184.00
DEPARTMENT
Cannel Police Dept,
ACCOUNT
PROJECT
PROJECT ACCOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• COD. 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. 32248
PAYMENT
• AP 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 TfiAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP )AL1iN SUFFICIENT TO PAY FOR THE ABOVE ORDER.
AMOUNT
$184.00
ORDERED BY .�.�
TITLE
CLERK - TREASURER
OFFICE COPY
Chief of Police