25552 VWR International LLC C0 INDIANA RETAIL TAX EXEMPT PAGE
0 ' lS.�s 1i: r e J CERTIFICATE NO.003120155 002 0
\\ 1i \ 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
121/2012
d
VM International-LLC C ire I Police Department
VENDOR SHIP 3 Civic Square
TO
P.O..Sou 64101 Caun01, IN_46 G. •r
Pittsburgh, PA 15264-0169 , _-��i�{�,` 1 t1 E� � 1 o4
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 4240.99 •
1 Each Glove Dispenser Triple 32891-245 $88.75 $88.75
1 Each Petroleum Ether, Boiling 1LT 200007402 $55.74. $55.74
1 Each Methanol ACS 11 2 $24.50 •$24.50
. .4 , ,,.
1 Each Aretoneitrile ACS 99.5+% 500r'VIL i° / $29.80 $29.80
1 Each BDH HCL ACS/NF/FCC 5001v1 !11.03`+ : ►LI 7,, ►. $29.24. $29.24
1 Each Chloroform ACS Regt 500a1lfi � ,.•Ef 1-CX 055 $59.32 $59.32
9
1 Each Acetone 500l/iL ' , O 97065-030 • O $14.55 $14.55
5 Each Needle Container w/Lid •A 15704-19° vim° $9.08 $45.40
�! Sub Total: $325.30
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Send Invoice To:
Cannel Police Department
Attn:Teresa Anderson
3 Chile I quarry
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT $325.30
�f • 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 CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI TIO 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
SHIPPING LABELS. �a
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chief g of
Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25552 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY