26169 Grainger C 1 11 1 1 11 1 0 City o f C aimel INDIANA RETAIL TAX EXEMPT
PAGE
CERTIFICATE NO. O. 003120155 155 00 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 26169
ONE CIVIC SQUARE;. THIS NUMBER MUST APPEAR ON INVOICES. NP
CARMEL, INDIANA 46032=2564 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 i
Grainger Cannel Police Department
VENDOR SHIP 3 Civic Square
TO
Dept 604513497 Carmel, IN 48032
Palatine, IL 60038-0001 (317) 571 -2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42460.00
1 Each LegacyHose Reel 30A14 1171.90 1171.90
Sub Total: 5171.90
4 ff jj o j Q fly
*.sA.....'n.
I
'''''s t
Inann o
Send Invoice To:
tor-c?' 'O M 441
r1� 0 111
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. �C� PAYMENT $171.90
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS 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 APPROPRIAT SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
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.
2 6 1 6 9 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY