26218 Menardsof Car ell
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR. CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE 610. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
28218
THIS NUMBER MUST APPEAR ON INVOICES, ,VP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
Nu
7/2512012
Monards
VENDOR
2160 E. Greyhound Paso
Cannel, IN 48033
SHIP
TO
Cannel Police Department
3 Civic Square
Carmel, IN 48032
(317) 5712550
CONFHMArIO
BLANKET
CONTRACT
PAYMENT TERMS.
FREIGHT
CUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42-350.00
1 Each lumber and accessories
Account 420.99
1 Each lumber and accessories
Send Invoice To:
Cannel Police Department
Attn: •Teresa Anderson
3Civic Square
Carmel, IN 48032-
PLEASE INVOICE IN DUPLICATE
$326.36
Sub Total:
$315.23
Sub Total:
3326.38
$328.36
$315.23
$315.23
DEPARTMENT
Carmel Police Dept.
ACCOUNT
PROJECT
PROJECT ACCOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• TICS ORDER ISSUED IN COMPLIANCE WITH CHAPTER DR, ACTS 1345
AND ACTS AMENDATORY THEREOF AND SUPPLEMENTTHERETO.
c ..•I
DOCUMENT CONTROL NO. 26218
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
• AN, VOUCHER CANNOT DE APPROVED FOR PAYMENT UNLESS THE PO,
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWOR AFFIDAVIT ATTACHED,
• I HEREBY CERTIFY THAT THERE -� UNOSLIGATED BALANCE IN
THIS: APPROPRIATION - I r O PAY FOP THE ABOVE ORDER,
AMOUNT
$641.59
Chief 'f Police