26175 BGI Fitness C 0 INDIANA RETAIL TAX EXEMPT PAGE
i 1 1 arm el CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
y FEDERAL EXCISE TAX EXEMPT 28175
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AP
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
5122/2012 1
1361 Fitness Carmel Police Department
VENDOR p 828 Corporation Drive SHIP 3 Civic Square
TO
Cannel, IN 46032
Indlanapolls, IN 45256 (317) 5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 42380.00
1 Each IF-Park 10 mm Hex tool TL8295 $10.99 $10.99
1 Each ZF -Condhaus 1.5 -8mm Allen set TL8001 $13.99 $13.99
1 Each ZF -Park Needle Nose pliers TL M5 $24.99 $24.99
1 Each ZF -Park 12' adjustable wrench t iff f 18309 j__f� $33.99 $33.99
1 Each ZF -Park combo wrenches A( .7 r il l u830 C Ao i,' j $79.99 $79.99
1 Each ZF -Park Floor pump 4 v PU8600• $47.99 $47.99
1 Each ZF -Park Spoke Tension meter 0�• 117426 r
$74.99 $74.99
A
1 Each IF-Park Consumer Truing st 11.7098 A c... vG $127.99 8127.99
1 Each discount r y u+ •j> ($83.00) (583:00) 1 Each shipping charges 1
$21.81 $21.81
p Sub Total: $353.73
o L
,I
4 4
Send Invoice To: ��1 UV (`5
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT 1 PROJECT ACCOUNT AMOUNT
Carmel Police Dept. coC. PAYMENT 1 $353.73
AP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT ERE IS ANUNODLIGATED BALANCE IN
THIS APPROPRIATIO S FICIENT 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 hief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 6 1 7 5 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY