25964 Super Quick Clean Guns City INDIANA RETAIL TAX EXEMPT
f :C CERTIFICATE NO. 031201550020 PAGE
w �a PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 25954
35- 60000972
ONE CIVIC SQUARE 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
9190/2012
Super Quick Clean Guns Carmel Police Department
VENDOR SHIP 3 Civic Square
12179 N. Beth Ann Drive TO Carmel, IN 48032
Camby, IN 45113 (317) 571.2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE II DESCRIPTION UNIT PRICE 1 EXTENSION
Account 42-390.10
24 Each deaner lube for weapons $8.25 $198.00
Sub Total: $198.00
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Send Invoice To:
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 1 PROJECT ACCOUNT 1 AMOUNT
Carmel Police Dept. --�U PAYMENT $198'00
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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTI T AT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /r
SHIPPING LABELS. of Chief of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Y
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
q CLERK TREASURER
DOCUMENT CONTROL NO. 2596 `tr OFFICE COPY