100585 CARDIAC SCIENCE GROUP 1 1
13
INDIANA RETAIL TAX EXEMPT Page 1 of 1 '
l'City o f Ciri.riie]I NO.003120155 0020L PURCHASE ORDER NUMBER
�JJ,,���jjjjj FEDERAL EXCISE TAX EXEMPT 1 00585
ONE CIVIC SQUARE I 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO.PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
'FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
;PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/18/2017 361537
CARDIAC SCIENCE CORP Carmel Police Department
[VENDOR PO BOX 776401 SHIP 3 Civic Square
TO Carmel, IN 46032-
CHICAGO, IL 60677--6401 Blaine Mallaber
PURCHASE ID BLANKET 1 CONTRACT 1 PAYMENT TERMS FREIGHT 7
17281
QUANTITY UNIT OF MEASURE j DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-390.99
240 Each 9131-001 adult defribrillation pads $32.00 $7,680.00
Sub Total $7,680.00
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE DUPLICATE
E
DEPARTMENT PROJECT
� 1 PROJECT ACCOUNT -1- AMOUNT
PAYMENT $7,680.00 .i
SHIPPING INSTRUCTIONS *NP 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
`SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
`PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 L ----
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY — - — - -- --- (1
Jim Barlow Douglas Haney
TITLE Chief Corporation Counsel
CONTROL NO. 100585 CLERK-TREASURER ni