25502 Central Service Center PAGE
City' of c °,�rme1 CEINDIANA RETAIL TAX EXEMPT
RTIFICATE NO.003120155 002 0
/CVs PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT GJ:FII25
2
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
Contrail Sorvico Cont®r Carrrroi Roilco Dopartmont
VENDOR SHIP 3 Civic 6quaro
715 North Bright Btroot To Cann 1, IN 46032
Docatur, IL 62522 (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-500.00
1 Each radar repairs $359.50 $359.50
Sub Total: $359.50
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Send Invoice To:
y, , ,
Comm! Pollco Deparrmont
Attn:Tor Anderaon
3 Civic Swam
-Carmoi, IN 46032= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $359.50
(s) • 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 CEIjTIF/THATTHERE IS AN UNOBLIGATED BALANCE IN
THIS APPROI
TION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY j,
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL . -
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chid oV Poilco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25502 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY