31472 Uniform House Cityo
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1L ,L �Y ®11 Carmel ___ PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 34172
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
1/2912014 •
The UnIPorm House, Inc. Cannel Police Department
VENDOR
SHIP 3 Civic Square
1927 N. Capitol Avenue TO Cannel, IN 48032 •
Indianapolis, IN 46202 (317)571-2574
I CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43660.02 .
4 Each Carmel Police Dept badge -shirt Carmel-Badges $88.00 $344.00
4 Each Cannel Police Dept badge -wallet Carmel-Badge-S $88.00 $344.00 •
Sub Total: $888.00
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Send Invoice To: �0 M �O`
Cannel Police Department � �����
Attn: Pat Young
3 Civic Square
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. iC5.3 PAYMENT $888.00
• 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 THAT THE I AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION FF 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. of Pollee
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1995 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
3147 2 CLERK-TREASURER
•
DOCUMENT CONTROL NO. OFFICE COPY A .