101930 CARDIAC SCIENCE CORP INDIANA RETAIL TAX EXEMPT Page 1 of 1
City
o Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
of FEDERAL EXCISE TAX EXEMPT 101930
ONE CIVIC SQUARE 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
9/10/2018 361537
CARDIAC SCIENCE CORP Carmel Police Department
VENDOR PO BOX 776401 SHIP 3 Civic Square
TO Carmel, IN 46032-
CHICAGO, IL 60677--6401 Brian Smith
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
29146
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-390.99
25 Each 9131-001 adult defribrillation pads $32.00 $800.00
20 Each AED replacement battery-yellow GS 9300 $235.00 $4,700.00
Sub Total $5,500.00
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Send Invoice To: 2. ,,
Carmel Police Department §s,.
Accounts Payable , r .
3 Civic Square ".,,
Carmel,IN 46032- f
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $5,500.00
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 SSUE IN BER MUST APPEAR H ALLSHIPPING
99,ACTS
LABEL `/ (� ,
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ""�„'6 ,k,Q,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY `�'\ �.
Jim Barlow James Crider
TITLE Chief Administration
CONTROL NO. 1 01930 CLERK-TREASURER