26116 L E S Crime Scene Solutions I 3 INDIANA RETAIL TAX C ity ®f Carmel r e l CERTIFICATE NO. 003120155 M 02 0 PAGE
tva J1111Lw JJII PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 28118
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
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
3127/2012
LES Crime Scene Solutions Carmel Police Department
VENDOR
SHIP 3 Civic Square
900 Reservoir Road To Carmel, IN 48032
Rushford, MN 55971 (317) 5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 420.99
12 Each LES fingerprint brushes 4410 87.95 595.40
Sub Total: $95.40
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Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $95.40
A/P 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 TH T THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRI UFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TREASURER
DOCUMENT CONTROL NO. 26116 OFFICE COPY:.;