25551 Carmel Pro Printer f INDIANA RETAIL TAX EXEMPT PAGE
C ® Ctirriie1 CERTIFICATE NO.003120155 002 0
����1�.//// L. V PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 25569
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
12/1112012
C21119 G1 Pro Printer Carmel Police Department
VENDOR • SHIP 3 Civic Swam
TO
MO Cannel Dave Cartel, IN 46032
Camiel,, IN 46032 '• (317)571
CONFIRMATION BLANKET CONTRACT / PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION
Account 42-301.00
1 Each prosecutor sign-off sheets . $154.38 $154.38
Sub Total: $154.38
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Send Invoice To: ,ft
Cannel Police Department
Attn:Teresa Anderson
3 Civic Squats
Camel, IN 46132° PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept , PAYMENT $154.3
• 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 THAT 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 id/ °�
SHIPPING LABELS. o Pollee
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE !'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT T_HHERETO.
•• G 5'5 51 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY