25602 Brownells Inc. INDIANA RETAIL TAX EXEMPT PAGE
City ® Ciriiiie1 CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 26602
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
1/1012013 ,
i rownslis Inc. Cannel Pollee Department
VENDOR SHIP 3 Civic Square
TO
200 south Front Street Cannel, IN 46032
Montezuma. IA 50171 (317)679
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
-
Account 42390.10
1 Each shipping charges $1 3.85 $1 3.95
40 _ , 4.0- ,10 Each tools/slings $32.87 $328.70
Sub Total: $342.65 li!,..c...A.4- --41P-- -
V ,, .0 ir•bik
4./ a>.--.: /4". A 4,...e N4,1"iik
ca 1 �: iiiiN
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Send Invoice To: -�"
Carmel Pollee Department
Attn: Teresa Anderson
3 Chile Square
C2111101, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT AACCCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. �"� PAYMENT 2.65
• 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 THEROS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATUFFI6I NT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /'
SHIPPING LABELS. V
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chin'eQ Peg=
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
-2 5 6 0 2 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY