26052 Neutron Industries J ,��,,e /��y� INDIANA RETAIL TAX EXEMPT PAGE
1 city o I' Carmel l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
s. y �a Or �a FEDERAL EXCISE TAX EXEMPT 28052
I 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
1127/2012
I Neutron Industries Cannel Police Department
VENDOR SHIP 3 Civic Square
7107 N. Black Canyon Highway rD Carmel IN 48032
Phoenix, A2 85021 (317) 571 -2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
1
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42.g0.99
1 Each NI -712 Orange, 8oz can 17047 $0.00 $0.00
1 Each 24/7 dispenser 104699 $0.00 $0.00
1 Each NI -712 Orange Lite, 12 cans 108342 $129.00 1129.00
-1, Sub Total: $129.00
it ‘tett. *q.
I xY �I T�
II
Send Invoice To: NJ M el :0
111
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. �l,'3 PAYMENT $129,00
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVITATI'ACHED.
SHIPPING INSTRUCTIONS I HEREBY CERT Y THERE IS AN OBLIGATED BALANCE INE
SHIP REPAID. THIS APPRO IA O UFFICIEN PAY FOR THE ABOVE ORDER
C.0.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1 hlef of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
26052 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY