25591 Colt Defense LLC f� INDIANA RETAIL TAX EXEMPT PAGE
® 11 CERTIFICATE NO.003120155 002 0
C/ Jl PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 25509
, 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
112/2013
Colt Memo LLC x' Carmel PoIico Department
VENDOR
T oth BloIuckl a Law EnVorcemont Trig Coordln to SHIP 3 Civic 0quaro
P.O. Don 119 TO Carol, IN 46032
Hartford, CT 05141-0110 (317)571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 026 0.00
2 Each training $450.00 $900.00
Sub Total: $900.00
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Coll l I to & 1911 Amara Course for Sgt. --'•7 '., o ;„Ko r 111 April 15 -19, 2013 In Fiohorr, IN
Send Invoice To:
Carmel Pollco Department -
Attn: Torosa Anderson
3 Civic Square
Camel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. �6 j PAYMENT $200.00
• 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 THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT FICI PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C:O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY . iLENTTO
v
SHIPPING LABELS. hid of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25591 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY