HomeMy WebLinkAbout100368 INTAPOL INDUSTRIES INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cito f cInrririe1 CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 00368
ONE CIVIC SQUARE i__ 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584VOUCHER,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
4/18/2017 362793
INTAPOL INDUSTRIES Carmel Police Department
VENDOR 100 AMITY STREET SHIP 3 Civic Square
TO Carmel,IN 46032-
JERSEY
CITY, NJ 07304- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
14647 r----
I 1
QUANTITY UNIT OF MEASURE DESCRIPTION i UNIT PRICE EXTENSION 1
Department: 1110 Fund: 101 General Fund
Account: 43-560.01
1 Each FA5NV pant striping 1 inch navy cloth $10.00 $10.00
1 Each 151BR-32 x 27 Police motorcycle breeches delux weight 5 way stretch $149.99 $149.99
Sub Total $159.99
Send Invoice To:
Police Department Scott Spillman
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I _ PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $159.99
'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELi�-"
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ;,..,-,•-,-;,..../ .04 .....-
AND
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Tim Green
TITLE Chief of Police
CONTROL NO. 100368 CLERK-TREASURER _ --rti'\\-1