31477 North America Rescue •
C1111 ity of f /'Carmel arm l INDIANA REN TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT _1 31477
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
2/3/2014
I North American Rescue, LLC Carmel Police Department
VENDOR SHIP 3 Civic Square
35 Tedwall Court TO Cannel, IN 48032
Greer, SC 39850 (317)5712574
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 42 .10
7 Each Tourniquet, Combat Application 30-0033 $28.10 $182.70
1 Each shipping charges $10.00 $10.00
Sub Total: $192.70
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Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. c)C-?� PAYMENT $192.70
v • 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 H RE AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIO F• T 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. Chl< +f Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. -R
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`- ' q CLERK-TREASURER
DOCUMENT CONTROL NO. 31477 OFFICE,COPY .