25533 Glendale Parade Store INDIANA RETAIL TAX EXEMPT PAGE
C ®� � CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
ONE CIVIC SQUARE 35-60000972
CARMEL, INDIANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO.
11127)2012 DESCRIPTION
Glendale Parade Store
Camel Police Depantment
VENDOR SHIP 3 Civic Square
992 Paris Avenue TO
Nolhva�fo, NJ 07641-2016 Cannel, IN 4t2
.CONFIRMATION .•�� r
BLANKET CONTRACT > ' �.-� , i
_ FREIGHT
QUANTITY UNIT OF MEASURE
DESCRIPTION
Account ��gg560����pp UNIT PRICE EXTENSION
Account 43. .01 a
15 Each Police Mourning Cords 4581106
2 Each Military Gloves with Snaps -small 1051SP $16.50
$247.50
8 Each Military Gloves with Snaps -medium 9.0 $2.95 $5.90
$2.95 $23.60
5 Each Military Gloves with Snaps -large r` 2.15
2. Each Military Glom with Snaps, Su e l , $ $14.75
ganallGi ? � � *� $3.75
•°°° •, .r►. $7.50
8 Each Military Gloves with Snaps, . 10S7MP
IA •
0 ''W, $3.75 $30.00
5 Each Military Gloves with Sna era drip- 90S7LP r
{
large �°� ��.e $3.75 $18.75® l P41 1 Sub Total: 348 0000 1
',„1,. . ....°Q /0,'
Nirfor",,„,,,,\,°.,... ...- ,,s, ,47,
lit,,,,N,/, ..... .°.. $0/
Send Invoice To: v./`� r0 Rq _____u ... .",
C rmol Police D@paIttment ./
Attn: Tema Anderson
3 Citric Squaw
Cannel, IN 46632- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT
PROJECT PROJECT ACCOUNT
AMOUNT
armel Police Dept.
PAYMENT $348.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
•
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
SHIPPING INSTRUCTIONS VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.•
•SHIP REPAID. I HEREBY CERTIFY T ATIHERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI 0 EFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
dr
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE A✓ l�P B6t p Police
5 3 3 CLERK-TREASURER
)OCUMENT CONTROL NO. OFFICE COPY