25462 T3 Motion, Inc. itY INDIANA RETAIL TAX EXEMPT PAGE
I' CERTIFICATE NO.003120155 002 0
\./// ®1i Carmel PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 255462 '
35-60000972 -
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 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
X92
73 Motion, Inc. Carmel Police Department
VENDOR SHIP 3 Civic Square
TO
2D Alrmay AvMnuo UMW, IN 46032
Costa Mesa, CA 02626 (317)5712
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
il
Account SI'�7z3i1/.11il •
Each
1 Each Front Tire Rim 100-50000 $52.25 $52.25
1 Each Sub Assy, G-Basic Tail Light Board \ 1 0;,1 ! $20.63 $20.63
1 Each Thumb itch, Sub-Assy5 position J f 12 { H,k� /►~ $55.70 $55.70
1 Each shipping charges $114.40 $114.40
Sub Total: $242.98 tic- \
6 ci' .-. vtr),
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I N
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4
, „, ... , 4Fii, -411, ' 10411 -.: .
+ .
Send Invoice To: �. H p
Cannot Police Department
Attn:Teresa Anderson _ '
3 SquanD
5
Carol, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT \ PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT $242.':+
• -A/P 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.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID; .
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY�C ...— _ Q2•.■gna ,
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL (i .�--
SHIPPING LABELS: \ %. -fir pa ,,g of I6�
/ •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 1 ,Chlo o1 Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25462 _
•� CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY