24414 Knox Company C it'y of f� Carrael INDIANA RETAIL TAX EXEMPT pAGE N.
ll'i CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NU :ER
FEDERAL EXCISE TAX EXEMPT 241114
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/1512012
Knox Company Carmel Fire Department
VENDOR SHIP 2 Civic Square
1601 West Deer Valley Road TO
Carmel, IN 46032
Phoenix, AZ 85027 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
N
QUANTITY UNI EA dRt DESCRIPTION UNIT PRICE EXTENSION
Account 102-G31.
3 Each Part##9004 Wfi Antenna Non-Magnetic $72.00 $216.00
1 Each Part#8001 KevSecure Cable $50.00 $50.00
1 Each Part##29008- KeySecure $28,640.00 $28,640.00
1 Each Shipping $422.00 $422.00
i — s ,
4 a � Sub Total: $28,328.00
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Send Invoice To: �"' -
Carmel Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
Carmel Fire Department PAYMENT $29,328.00
• 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 TH PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERT/` AT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP- .•�� r CIENT TO PAY FO- HE ABOVE ORDER.
•SHIP REPAID. l
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY , .. /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. c.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
b...... '145L-------.--\
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
24 4 4 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY