25497 Kaeser & Blair Inc. INDIANA RETAIL TAX EXEMPT PAGE City ®f Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-25$4 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
10/062012 1
Kamer Z Blair Inc. Camel Polio Depalttment
VENDOR SHIP 3 Civic Squall
TO
P.O. Bolt 644065 Cannel, IN 4
Cincinnati, OH 45254165 (317)571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION
Account 43450.02
500 Each Mood Pencils B20550 $0.27 $135.00
Bub Total: $135.00
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Send Invoice To: �I` _-r N
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Carmel Police Department
Attn:Teresa Anderson
3 Civic Squaw
Cannel, IN 2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. �S PAYMENT $935.00
• 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 APPROPRIAT NSUFFICIENT 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. _, �hid og I Pollee
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE _
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25497 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY
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