26097 Saltzman Gun Works 0 Q.. Carmel //may, INDIANA RETAIL TAX EXEMPT PAGE
�I arme Y CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 28097
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
3/1912012
Saltzman Gun Works, Inc. Carmel Police Department
VENDOR SHIP 3 Civic Square
3896 S 400 Wost TO Cannel, IN 48032
Tipton, IN 48072 (317) 5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Account 43-500.00
3 Each drill and tap scope mount holes In $45.00 3135.00
receiver
3 Each cut and renown barrel $70.00 3210.00
����/!f�jf Sub Total: $345.00
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O S ‘11104 St,O.
Send Invoice To: e— ll 1111
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. cC PAYMENT S345.00
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
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 HERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT FFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. f
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Chief of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 6097 CLERK- TREASURER
DOCUMENT CONTROL NO. OFFICE COPY