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�i 1\ , .®� �� �� CERTIFICATE NO 003120155 002 0 PURCHASE ORDER NUM: �a10`
FEDERAL EXCISE TAX EXEMPT 2641
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOIC
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SL
SHIPPING LABELS AND ANY CORRESPONDENC-
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
10F J2012
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Entorprlso Tocbnical group Camiol Polio Dopartmont
VENDORBCn SHIP 3 Civic Swan)
16309 Stony Crook flay TO ay IN 48032
NoblosvIlio, IN 46080 (317)871
;ONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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1 Each Xenon 1900 Area-Imaging Scanner 19000SR-2USS $262.50 $282.50
Sub Total: $262.30
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