24726 ERS Data Solutions GroupCi
of C<•l rmme1
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
b N
PURCHASE ORDER NUMBER
24726
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
511112015
`�>,.�S `C�
VENDOR
ERS Data Solutions Group
PO Box 110
Ligonier, IN 46767
SHIP
TO
Carmel Fire Department
2 Cannel Civic Square
Cannel, IN 46032
(317) 571-2622
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT -OF MEAS URE,
T • "O a. -'-° - q�
1 Each HD2F005WR FIPS Scanner Per Attached
Account
Send Invoice To:
VL
1
DESCRIPTION
UNIT PRICE
EXTENSION
Carmel Fire Department
2 Cannel Civic Square
Carmel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
$985.00
Sub Total:
$985.00
$985.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Carmel Fire Department
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. 24726
PAYMENT $985103
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
ORDERED BY
TITLE
aba
CLERK -TREASURER
OFFICE COPY