25908 Roberts' Distributors LP A INDIANA RETAIL TAX EXEMPT PAGE
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�I,'' CERTIFICATE N0. 003120155 002 0 \��11// a e 111111 PURCHASE ORDER NUMBER 1
FEDERAL EXCISE TAX EXEMPT 25908'
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES. AP
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 4
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1202011
Roberts' Distributors LP Carmel Police Department
VENDOR SHIP 3 Civic Squats
255 S. hieddlan Street TO Carmel, IN 48032
Indianapolis, IN d8225 (317)571.2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 42.92
2 Each polarized filters 8 +W -00132 $99.97 $199.94
Sub Total: $199.94
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Send Invoice To: -Jr 0
Cannel Police Department
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Attn: Teresa Anderson
3•CivIc Square
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. $199.94
v A/P 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 OFFIDAV
SHIPPING INSTRUCTIONS I HEREBY I T TTHERE SWRN 15 AN A UNOBLIG ATED BATTACHED. ALANCE IN
THIS APPROPR CERT SU FFICIENTTO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY C SHIPPING LABELS. C of of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 25908 CLERK-TREASURER
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