24656 ESO Solutionsof 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
2.-\\o S Vo
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
12142099
�.��s- \ \1�« . �a,.,� .
VENDOR
ESO Solutions
PO Box 670324
Dallas, TX 75267-0324
SHIP
TO
Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032
(317) 571 -2622
CONFIRMATION
BLANKET
CO<N�TRACCTT
PAYMENT TERMS
FREIGHT
QUANTITY
UN IT OF, MEASU RE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43 -515-
1 Each Annual ePCR Subscription Fee
Send Invoice To:
Carmel Fire Department
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$8,895.00
Sub Total:
$8,895 00
$8,895.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Cannel Fire Department
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. 24656
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT $8.895.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.' •
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHERRAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREB CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
,