26137 Pinsville.com City Car 11 I' It el CERTIFICATE E NOI 003120155 002 0 PAGE
y �aLLU �a PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26137
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
412412012
Plnsville.com Cannel Police Department
Scott Black SHIP 3 Civic Square
VENDOR
41394 Lone Mountain Road 6246 TO Cannel, IN 46032
Las Vmgas, NV BO130 (317) 5714559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY p� UNI IT T OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.560,02
1000 Each lapel pins $1.34 $1,340 -00
Sub Total: $1,340.00
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Send Invoice To:
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. $1,340.uO
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.C.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
HIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.�
•CO.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY L y:' y3
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. .am. Chief of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO S' ,n `.;'`1'
2 6137 CLERK- TREASURER &z -ds 1.1+ r 7 t
DOCUMENT CONTROL NO. OFFICE COPY plpr;P