25480 Carmel Pro Printer 1i® INDIANA RETAIL TAX EXEMPT PAGE
City I' CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 257 0
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
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
W20/2012
CarrrmGl Pro P 1ntor Cannel Polio° Dopartmont
VENDOR SHIP 3 Civic Square
303 t Carmoi Drlvo TO Camel, IN 46032
Carmoi„ IN 46032 (317)0712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-1.00
3000 Each overtime vouchers $0.90 $477.00
Sub Total: $477.00‘\ .
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Send Invoice To: � N -5' '
Carmoi Poilco DGpartrrmont
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Attn:Toro s&Andorson
3 Civic Squaro
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT " AMOUNT
Carmel Police Dept. PAYMENT $477.00
Ar" • 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 APPROPRIATION 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 aloft SHIPPING LABELS of Police
▪THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25480 CLERK-TREASURER ' '
DOCUMENT CONTROL NO. OFFICE COPY ''