25745 DARE Indiana, Inc. Carmel ej INDIANA RETAIL TAX EXEMPT
L ity of Ili/ PAGE
C CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT.
35-60000972 1A74A
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
5I24/2013
DARE Indiana, Inc. Carmel Potico Department
VENDORGoIf Toumaman t t 2010 ToIP 3 Civic quam
90203 North Meridian t'n&met, Suite 175 Carol, IN 46032
Indianapolis. IN 45260 13971579a2556
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00452.00
1 Each golf outing $500.00 $500.00
jr� Sub Total: $500.00
4 .. ________,4.40p,0
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ify
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.....• •p ,0 .Send Invoice To:
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Carmel Police Dpar men4
Attn: Teresa Anderson
3 Civic-Square
Cannel, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT . ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
:'Cruel Police Dept. C� PAYMENT .Qa
i..- • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
G ;?, ;?7l:} VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
1'-J' ” SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
x.
. .'`r,1, THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• 1 x_SHIP.REPAID.
I'': 'CO D SHIPMENTS CANNOT BE ACCEPTED. / �`
'
-PURCHASE ORDER ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ''' J(l .
SHIPPING LABELS. �/�\ c
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE lc\ `' hIi q ea ollein
o AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. \J
} 2 5 7 4 5 CLERK-TREASURER
rDOOUMENT,CONTROL NO. OFFICE COPY
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