26085 DARE Indiana City INDIANA RETAIL TAX EXEMPT PAGE
o f arm.e CERTIFICATE NO. 003120155 002 0
a- y w �a PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26085
35- 60000972
ONE CIVIC SQUARE 1 THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SUPS,
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
311312012
DARE Indiana, Inc. Cannel Police Department
VENDOR
SHIP 3 Civic Square
10293 North Meridian Street, Suite 175 TO Carmel, IN 48032
Indianapolis, 1■ 46290 (317) 5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION' r!/
Account 00.670.00
1 Each training $150.00 $150.00
Sub Total: $150.00
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400 C oq
a i
Nic?..
Indiana DARE Officers State conference for OHlosr Lytle on J uly 12>130201 An Indianapolis
Send Invoice To
9. Carmel Police Department
k Attn: Teresa Anderson
k 3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 1 PROJECT ACCOUNT AMOUNT
Cannel Police Dept. $1W.00 P AYMENT $150.00
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 SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Chief of Police 111 411 THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 26085 OFFICE COPY