25573 Range Systems it'y INDIANA RETAIL TAX EXEMPT PAGE
C of o Criiie1 CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 25573
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
12/161/2012
Range Systems Camel Police Department
VENDOR SHIP 3 Civic Squabs
5121 lltfinnethai Avenue North TO Cannel, IN 46032
New Hope, MN 554920 (317)571.2550
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00=570.00
1 Each range improvements $25,000.00 $25,000.00
Sub Total: $25,000.00
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Send Invoice To: _ �_ �J
Carmel Pollee Department
Attn: Tema Anderson
3 Civic Squaw
Ca1rtm1901, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $25,000.00
• A/P 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}HERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIO S FFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. �rf
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY Ahisf SHISPIRD LBELU. of Polies
•THIS ORDER R ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. •
25573 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY