25538 Graybar INDIANA RETAIL TAX EXEMPT PAGE
City ® I' �i°�� � CERTIFICATE NO.003120155 002 0
1i Carmel 1i PURCHASE ORDER NUMBER
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.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1112712012
p 2 T-,
M -5 - d � L,(3 , a�.T. ,- r' 'I/
SHIP 7,-.0-0,
VENDOR TO �4� �
Orly Road •�1 r e ...4.80i-H.,: �(�
Indianapolis, IN 48241 9t
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
ACCOUlit 44470.E
2 Each'191A81 Wall Mount Bracket 5017-811 T91A81 $105.99 $211.98
2 Each Series Pendant Kit 5502-321 $52.45 $104.90
2 Each h1s P3348-VE I. - !01 348-VE $1,282.02 $2,524.04
Sub Total: $2,840.92
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,,girio,-- 0 A Send Invoice To: GI � �j,
Carmel Pollco Deparment
Attn:Teresa Anderson
3 Civic Squalls .
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT „ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. cilcIL.,3
PAYMENT. $2,110.92
• 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/TTHERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION�SI F ICIENT TO PAY,FOR THE ABOVE ORDER.
•CHIP REPAID. /�
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. �///j
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY •
SHIPPING LABELS. Mg of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
5 5 3 9 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY