25386 Title LLC C O ®f �. 21t�e�
INDIANA RETAIL TAX EXEMPT 155 00 PAGE `
Ill/JJJ�1lll 11111 ('O./ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/30/2013
Title, LLC Cannel Police Department
VENDOR / SHIP 3 Civic Square
TO
14711 W. 192th Street Cannel, IN 48032
Lenexa, NS 88215 I (317)571-2559
CONHRMAT1ON BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44470.99
I Each Title b4vlA Heavy Bag $149.99 8149.99
1 Each shipping charges $40.00 $40.00
i I I$0 O<:0 dr i•'••c•.O!!�I"lllllll Sub Total: $188.99
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Send Invoice To: - rl!!�•° —-.7""
Cannel Pollee Department ,j)/
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. d.._.3 PAYMENT $189.99
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A ART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS T}j fR PER SW0RN9FFIDAVITATTACHED.
• I HEREBY CER 1 N THEREJS-AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS 1 €
THIS APPRD IA O UFF 1 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.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE let of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25386
CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY