25522 Roberts Distributors LP INDIANA RETAIL TAX EXEMPT
\\•////ity of-Carmel PAGE
-C sane l CERTIFICATE NO.003120155 002 0
1i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26122
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
1111112
Roberts' Distributors LP Calm®I Polico Dopartmont
VENDOR SHIP 3 Civic &N an
TO
255 S. Meridian Sthot 0211981, IN
Indianapolis, IN 46225 (317)571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Account 44.670.09
QUANTITY UNITOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account
2 Each Can-EOS Rebel T3 CM-10114 - $449.97 $899.94
2 Each Can-Speedli2e 430EX II CSI-13120 $254.99 $509.98
2 Each .PTR-SDHC 16GB LX Class , '' s_1 14 $18.97 $37.94
4 '0
. ' � Bub`fatal: • $9,449-86 ov h
t: .
44, t►
ki i ...* ,11'
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.
*• • �
Send Invoice To: .,I'
'4-17.'''-‘-f-- -- JO '
Canto' Police Dopartmont
Attn: Teresa Andorson
3 Civic Swam
Carmo1, IN 462- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. V PAYMENT $1,447.
• 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 CERTI J ATTHERE IS AN UNOBLIGATED BALANCE IN
al/Y
THIS APPRO TIO 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 LABELU. (Chia oP Pollco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
5 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY