24405 MES it"y INDIANA RETAIL TAX EXEMPT PAGE® II C�� � CERTIFICATE NO.003120155 002 0 \ ���// of Jl PURCHASE ORDER N MBER
FEDERAL EXCISE TAX EXEMPT
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.
I FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1112612012 3 0_s \---y\ - d.->-.3,-.N.. o-
MES Carmel Fire Department
VENDOR SHIP 2 Civic Square
TO
75 Remittance Drive Carmel, IN 46032
Chicago, IL 60675 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
\\3
QUANTITY T OF ASURE DESCRIPTION UNIT PRICE EXTENSION
Account 102
1 Each Air Bags $8,501.13 $8,501.13
Sub Total: $8.501.13
0 7 4,.,,011,o..!....7:0:.:el;io . .‘eis imi k
4
,o,., .../0 ,- a -e v„,,,
.'
, , : 0 0 04*. '
Itilf :7 41
* . C) fr',4 .. .„ \
:w
Pigs , 0 C.
V/�
'''4-0 a„„., 6194 -...,*'.•••••••••-"'0 s ii 0
71010 -, in• wi G ---0 .
Send Invoice To: c!--7:7----" -10 '7
Carmel Fire-Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Fire Department PAYMENT X09.13
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS T .O.
NUMBER IS MADE A P• OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS TH• "'•�,OPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS . • I HEREBY CERTI ,` , , IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. THIS APPRO _ „•f)' V;. NT TO PAY FORT NapvE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. !!! '
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
A.,vi ://eA..............st
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 - TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
_
4 40 5 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY