25528 Grunau Company, Inc. of Indiana LLC C ofity INDIANA RETAIL TAX EXEMPT I PAGE
E" rIiie1 CERTIFICATE NO.003120155 002 0
\\ PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2628
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
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1112712012
Grunalu Company, Inc. of Indiana, LLC Cannot Pollco Department
VENDOR SHIP 3 Civic Swam
4341 Mat 08th Strnot TO Carmel, IN 48032
Indianapolis, IN 462801173 (397)571-2550
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
B 4
QUANTITY
�g g UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 515.01
1 Each fire protection maintenance $1,320.00 $1,320.00 -
Sub Total: $1,320.00
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Send Invoice To:
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CITRIC!! 'olico Dopartment .
Attn: Torosa Andor on •
3 Civic Swam
Cannot, IN 48032= PLEASE INVOICE IN DUPLICATE -
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I J AMOUNT
CEPITIOI Police Dept. c---f7. PAYMENT $1,320.00
• 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 CERTIFYTHATTHERE IS AN UNOBLIGATED BALANCE IN •
THIS APPROPRIATION;SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. .+'- )' - r•"
••C.O.D.SHIPMENTS CANNOT BE ACCEPTED. of r , rt'^'�
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. rr`
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 1Chlo g of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25528 CLERK-TREASURER •
DOCUMENT CONTROL NO. OFFICE COPY