26204 Pro Shot ProductsCity of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
26204
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
6/2812012
Pro Shot Products
VENDOR
P.O. Box 763
Taylorville, IL 62589
SHIP
TO
Cannel Police Department
3 Civic Square
Carmel, IN 46032
(317) 571-2559
COVFIRMADON
BLANKET CONTRACT.
PAYMENT TERMS
FREIGHT
QUANTITY I UNIT OF MEASURE
DESCRIPTION .
UNIT PRICE
EXTENSION
Account 420.10
, 1 Each cleaning supplies
Send Invoice To:
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032-
PLEASE INVOICE IN DUPLICATE
$184.00
Sub Total:
$184.00
$184.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Carmel Police Dept.
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26204
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT 8184.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
I HEREBY•LE4IFV THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS AP f IATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
Chlof of Police