26190 Kiesler's Police Supply LL i f i j CERTIFICATE E 003120155 02 0 PAGE
s y �v �v �a PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 28190
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
8/812012
Kiesier's Police Supply, Inc. Carmel Police Department
VENDOR SHIP 3 Civic Square
2802 Sable Mill Road TO Carmel, IN 48032
Jeffersonville, IN 47130 (317) 5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY e UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Accourd 44470.03
13 Each Rock River Elite Car A4 Rifle 5.58 ROCK RIVER AR1234 $995.00 $12,935.00
Sub Total: $12,935.00
o
c.
Nat +N..
Send Invoice To: J+ 1.007
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. 4 3 PAYMENT $12,935.00
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER I5 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE I SAN UNOBLIGATED BALANCE IN
THISAPPROPRIAT UFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.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 htof of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2619fl C TREASURER
DOCUMENT CONTROL NO. OFFICE COPY