25481 Institute for Public Safety Personnel, Inc. INDIANA RETAIL TAX EXEMPT PAGE
City o ,Carmel CERTIFICATE NO.003120155 002 0
of PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 289
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
W2012012 --
Institute for Public Safety Personnel, Inc. Carmel Police Department
VENDOR SHIP 3 Civic Square
TO
251 East Ohio Street, Suite 1000 Cannel, IN
Indianapolis, IN 46204 (317)6714660 .
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS -FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43410. e
1 Each psychological evaluations $360.00 $360.00
Sub Total: $360.00
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47,4. SF,... r
• Ni, .
' di. 14 milk
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NIL irip ,,,r4 y%..........G. 0 44 7
Send InLuces Gossett -
Camel Pollee Department
Attn: Teresa Anderson
3 Civ(c Square
Cruel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $360.00
• 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.SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIA ION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I SHIPPING LABELS ®P Pollee
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 4 81 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY