33006 Krav Maga WorldwideCity of Carme
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
33006
THIS NUMBER MUST APPEAR ON INVOICES, MP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
7/2712015
Krnv Maga Worldwide Training
VENDOR
11500 W Olympic Blvd. C645
Los Angeles, CA 50064
SHIP
TO
Carmel Police Department
3 Civic Square
Cannel, IN 46032
(317) 5712559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
OUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 00670.00
1 Each Law Enforcement Instructor certification
Ben Fisher Law Enforcement Instructor Certl9catlon�9/1-1/........
W18gn RI-Short,I
Send Invoice To: -
Carmel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
3750.00
Sub Total:
3750.00
$750.00
DEPARTMENT
Carmel Police Dept.
ACCOUNT
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. 33006
PROJECT
ORDERED BY
TITLE
CLERK -TREASURER
OFFICE COPY
PROJECT ACCOUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER I5 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE r ROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERT , AT THERE IS ASN UNOBLIGATED BALANCE IN
THIS APPR N SUFFICIE '!O PAY FOR THE ABOVE ORDER.
AMOUNT
3750.00
/I
/
of Police