25493 Ray O'Herron Co., Inc. INDIANA RETAIL TAX EXEMPT PAGE
City 1i ISJL o C°,�anal CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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
101612012
lqay O'Herron Co., Inc. C21111101 Police Department
VENDOR SHIP 3 Civic 0qum e
TO �a
P.O. Box 1070 C2111iei, IN 46032
Danville, IL 6111070 (317)6710
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 .10
220 Each 15'training cartridge 34200 $19.95 $4,389.00
10 Each XDPM 26701 $38.95 $389.50
10 Each DPM ', '00_ $33.95 $339.50 40, _ _
01-- --- - '---- Sub Total: $5,118.00
Account 44.670.03 4 -- rc c Al --_4p-,
0, 4 0tr 4.- ., , -,.,,,..
it , ,.......,.. " ,,..,,„,
4 Each Taser °`26519 $807.00 $3,228.00
j
Sub Total: $3,228.00
r , 6 \
;• 0`.
-4:
J 10) NI
's ' °.. 4 6, , , ,,,,:i• . ' : 1 ,'S,
'1,,,,,I,N./ii *".•—••••./.•*0 ..,,,4$7 '
Send Invoice To: -�
Cannel Police Dope tmon4
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 41 PLEASE INVOICE IN DUPLICATE
DEPARTMENT . ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT `'` •0
-...J • 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,THATTHERE IS AN UNOBLIGATED BALANCE IN
THIS APPRi N 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
SHIPPING LABELS //Chid o1 Police
•THIS-ORDER R ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25493 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY