25663 In Range Supplies ` INDIANA RETAIL TAX EXEMPT PAGE
City 1i® I' C acme l CERTIFICATE NO.003120155 002 0
/// PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 263
1 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
3f2093 '
In Range Supplies Camel Police Department
VENDOR TOIP 3 Chic aquaria
5121 W1nnetha Avenue North Cannel, IN 46032
New Hope, WIN 66420 -- (317)671
'CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 000.23 ,
144 Each Dula,-Bloc RB1000 $63.00 $9,072.00
Sub Total: $9,072.00
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Send Invoice To: ~
Carmel POIIcG Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. �� PAYMENT $9,072.00
• 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 THATTyIERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI,TI N 8 PFICIENT 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. ya
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25663 CLERK-TREASURER •
DOCUMENT CONTROL NO. OFFICE COPY '
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