25504 Institute for Public Safety Personnel, Inc. INDIANA RETAIL TAX EXEMPT PAGE
City o , \ A��..//-sane l CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2
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
9011712092
Institute for Public Safety Personnel, Inc C21111101 Pollee Department
VENDOR SHIP 3 Chileaquam
269 East Ohio St ot, Suite 1000 TO
r Camel, IN 46032
Indianapolis, IN 46204 (317)671
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43,407.01
2 Each psychological evaluations $360.00 $720.00
Sub Total: $720.00
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Jahnatli n Pico/Christopher Ea ~ tr •• • c0,
Send Invoice Io: p - 40*-- �.`'-'
Carol Pollee Department
Attn: Teresa Andorran
3 Chile Squana
Carmel, IN 460312= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
'annel Police Dept. �v3 PAYMENT $720.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS. • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIA$ION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
__„...,-c".1L--------'
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. BaI�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I Chief,g of
Pollee
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
r� o CLERK-TREASURER
)OCUMENT CONTROL NO. OFFICE COPY