26183 ChemSearch C A INDIANA RETAIL TAX EXEMPT PAGE
ity f Carmel. CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
11 1l FEDERAL EXCISE TAX EXEMPT 26193
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
5/28/2012
ChemSearch Cannel Police Department
VENDOR SHIP 3 Civic Square
23251 Network Place TO Cannel, IN 48032
Chicago, IL 60573 -1232 (317)571.2550
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1
Account 42-321.00
1 Each shipping charges $20.00 $20.00
2 Each lubricant $168.00 $338.00
Sub Total: $350.00
0 ie
it,
Send Invoice To: 4 Ce—
It(
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. cS PAYMENT $358.00
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
\J 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 IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ES
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Y Hof of Polies
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 6 1 8 3 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY