26211 Kipp BrothersCi
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
28211
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
7113/2012
Kipp Brothers
VENDOR
4$24 Reliable Parkway
Chicago, IL 80888-0049
SHIP
TO
Carmel Police Department
3 Civic Squanm
Carmel, IN 46032
(317} 5712559
CONFIPMAIION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY (UNIT OF MEASURE
DRSCRIPTION
UNIT PRICE
EXTENSION
Account 43-450.02
1 Each discount
20 Each USA Slap Bracelets
20 Each 2 oz VarletyBubbles
8 Each US flag flip slicks
Send Invoice To: '
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48032-
28286
27757
NA4589<
OF CA.0
PLEASE INVOICE IN DUPLICATE
($22.40)
$4.20
$2.80
$10.80
Sub Total:
(122.40)
$84.00
$58.00
$88.40
$204.00
DEPARTMENT
ACCOUNT
PROJECT
1 PROJECT ACCOUNT
Carmel Police Dept.
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.O. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• '1 HIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26211
ORDERED BY'
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PC.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• 1 HEREBY CERTIFY THATTHERE 15 AN UNOBLIGATED BALANCE IN
�TH15 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
AMOUNT
$204.00