25509 Otto Carmel INDIANA RETAIL TAX EXEMPT PAGE
o f CERTIFICATE NO 003 20155 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
10/3112012
Otto "1 Carmsl Police Department
VENDOR SHIP 3 Civic Square
TO
10 Mot Main Stroet Canino!, IN 46032
Carpentoravillc, IL 10110 (311)571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Account ��pUNIITTpOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
•
Account 7z00.O0
20 Each Fief Ear C806573-LEI $5.82 $118.40
5 Each Storm Mic V2-.52E112122 $125.30 $826.50
20 Each Wire KIR $62.03 $1,240.60
i Sub Total: $1,983.50
44, -,,A tu u...;; ;r44„„ks,'-' 4201,,,,''
01/400;\ **** .*....q,, IrOk,
p, v.....e Neh,
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a, --. .: * ) .
* 7 IR :
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Send Invoice To: 4r H *• ,'\101
40 '
UMW! Polk() Dopament
Attn: T®11as&Anderson
3 Civic 8quaro
Caron°l, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. C,,�j PAYMENT $1,983.50
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
"`++ .✓✓J NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIF A THART THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION 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. °'I of of Pollee
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �s TTT 1-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25509 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY