25501 Intapol Industries it'y I NDIANA RETAIL TAX EXEMPT PAGE
C of Carm el CERTIFICATE NO.\\ 1i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 25501
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
10/1112012
Intapoi Industries Carmel Police Department
VENDOR SHIP 3 Civic 6quue
77 Amity Street TO Camel, IN 46032
Jersey City, NJ 07304 (317)5714550
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY
�g g+,�UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 430.01 ,
1 Each Police Motorcycle Helmet SD700Ve-M $234.94 $234.94
1 Each Imported Pittsburgh Leather Ike G44731 $319.99 $319.99
2 Each Motorcycle Breeches Year Round .0; ffi- 2 $129.99 $259.98
0 t IF
.�--4P Sub Total: $994.89
07/-4 °*''''''''.--4 ' ''*
•� wry ..e ,., ,
,4/ 0. 4
, •I to s� ;
<- %s.,,07
Sgt.Brett Keith ,,/r'`` �i
Send Invoice To:
•
Carmel Police Department
Attn:Teresa Anderson
3 Civic Square
Cares, IN 42= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT $814.91
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
_. PAYMENT
IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CE TIJFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPRO 1% ON 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 ;At
SHIPPING LABELS. hid of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 5 0 1 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY