26226 Stop TechCi
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
262"26
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
81612012
Stop Tech
VENDOR
365 Industrial Drive
Harrison, OH 45030
SHIP
TO
Carmel Police Department
3 Civic Square
Carmel, IN 46032
(317) 571 -2559
OONRPMATFON
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
CUANTITY I UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42-390.11
2 Each shipping
2 Each Stop Stick Training Kit A (9' sleeve)
Send Invoice To:
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 46032-
S9001K
PLEASE INVOICE IN DUPLICATE
$17.75
$170.00
Sub Total;
$35.50
$340.00
$375.50
DEPARTMENT
ACCOUNT
Cannel Police Dept.
SHIPPING INSTRUCTIONS
PROJECT
1 PROJECT ACCOUNT
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT RE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. '
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
ANO ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26226
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
• AP VOUCHER CANNOT RE 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 CERTIFY THAT ERE IS AN UNOBLIGAFED BALANCE IN
THIS APPROPRIAT�C/I �yI� �.P ICIENT TAY'FOR THE ABOVE ORDER.
AMOUNT
$375.50