25553 Tactical Night Vision Company INDIANA RETAIL TAX EXEMPT PAGE
Caimel
C of CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 23
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
92/9312092
Tactical/Night Vision Company Carmel Police Department
/
SHIP 3 Civic Square
VENDOR TO
26612 Barton Road 0323 Caimol, IN 4032
Loma Linda, CA 92990
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS - ( l FREIGHT ' v I
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 .10
15 Each Cyalume MILSPEC Chemlight (4°) Green 8 hour $9.72 $145.80
2 Each Cyalume MILSPEC Chemlight (4°) IR 8 hour $18.33 $36.68
5 Each Cyalume MILSPEC Chemilght (6°) : ue-8-': • $13.09 $85.45
10 Each Cyalume MILSPEC Chemlight (6°)
Of — 0.,. $15.85 $158.50
1 Each shipping charges a %" $36.93 $36.93
4 A-°***'*--.—... Sub Total: $443.34,O,
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i "447
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Send Invoice To: �► .-
Camel Police Department •Attn:TIMM Andoraon _
3 Civic Squaw
Carmel, IN 2= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT $443.34
• NP 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 fERT�FY THAT THER IS AN UNOBLIGATED BALANCE IN
THIS AP ROPRIATION SUF IEIENT TO PAY FOR THE ABOVE ORDER. •
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY o •
�a
SHIPPING LABELS. ' I
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chief®y PBllC
c
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 b 5 3 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY