32268 AdoramaChi
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
32268
THIS NUMBER MUST APPEAR ON INVOICES, ASP
VOUCHER. DELIVERY MEMO. PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
12117/2014
Adorama
VENDOR
42 West 18th Street
New York, NY 10011
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 44470.99
1 Each Blackhawk Dynamic Entry- Monoshock $259.39 $259.39
Ram
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032-
PLEASE INVOICE IN DUPLICATE
Sub Total: $259.39
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
Cannel Police Dept.
C:
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.
ORDERED BY
TITLE ^ (/ Chief of Police
PAYMENT
• AIP 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 THERE IS ASLUNOBLIGATED BALANCE IN
THIS APPROPRIryyJN SUFFICIEyTTO PAY FOR THE ABOVE ORDER.
AMOUNT
$259.39
32268 CLERK - TREASURER
DOCUMENT CONTROL NO. OFFICE COPY