25554 Tactical Night Vision Company INDIANA RETAIL TAX EXEMPT PAGE
C i ®f ;� ,r e J CERTIFICATE NO.003120155 002 0
���i1/// PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12113'2012 f
Tactical Night Vision Company Cannel Police Department
SHIP 3 Chile Square •
VENDOR
TO
25512 Barton Road arte 17BM r iN_4�2.
.W (flapis
Loma Linda, CA l X110 u, . ,'.r,,,
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS l� FREIGHT',j .ice-- 1
v
Account �gUUNITOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 3 .10
3 Each PEQ-15 $1,828.99 $4,880.97
3 Each Wilcox L4 G23 Mount System $1,352.91 $4,058.73
3 Each Norms MICH 11VG,Mount Assembly $215.00 $845.00
f ' - Sub Total: $9,584.70
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Send Invoice To: . �' M -50
Carmel Pollee Department
Attn:Teresa Anderson
3 Civic Squar+a
Cannel, IN 46432= - PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. ,,,{{{ PAYMENT $9, •70
!' • 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 CET THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPRO T ION SUFFIC ENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY !
SHIPPING LABELS. /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE hlef of Pollee
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25554 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY