25520 Parkside Animal Hospital it'y INDIANA RETAIL TAX EXEMPT PAGE
® I' °�� � CERTIFICATE NO.003120155 002 0
C 1� ���C l 1i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 25528
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,PIP
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
1111612012
Parkside Animal Hospital Carmel Police Department
VENDOR SHIP 3 Civic Squaw
TO
12262 Publi$her$ Drive Carmel, IN 46032
Fishery, IN 4 (317)579
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-578.00
28 Each dog food $38.00 $988.00
Sub Total: $988.00
Offr - --do-
00...,,i----- -.\F,•••,,
4/A ..'.. ***.N‘\- ',.. -40„,---,
4,/ Ci.)..4
d
° a
° 1 °
in
Ntiwkok ... \\,........: J °,`
lik..,24;.... ____....0.,
,, Y'0 '• c
....- v y'
f
Send Invoice To: ► _
f o0 1
Carmel police Department
Attn:Ten a Anderson
3,Civic Square
Carmel, IN 432- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT •
Carmel Police Dept, PAYMENT )'''`•M
• 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 CERTIFY T AT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIA 1• 'SUFFICIENT TO PAY F RTHE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /
SHIPPING LABELS. (/ChIof F�THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE of 1 Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25520 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY