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I1t)T ®� iI . nriririie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBERFEDERAL EXCISE TAX EXEMPT 100366
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP I
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
CARMEL,INDIANA 46032-2584 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
411812017 00351017
KIRBY RISK CORPORATION
Carmel Police Department
VENDOR 27561 NETWORK PLACE SHIP 3 Civic Square
TO Carmel,IN 46032-
CHICAGO, IL 60673--1275 _ Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
14638
DESCRIPTION UNIT PRICE I EXTENSION
QUANTITY UNIT OF MEASURE
Department: 1110 Fund: 101 General Fund
Account: 43-501.00
6 Each RAB outdoor flood light $470.84 $2,825.04
4 Each RAB WP3LED82 outdoor wall light $358.96 $1,435.84
1 Each shipping $3.00 $3.00
Sub Total $4,263.88
Send Invoice To:
Police Department
Accounts Payable
3 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT J
i DEPARTMENT — $4,263.88
PAYMENT
*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 LABEL ^,T/ -
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ORDERED BY
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 —
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Tim Green ��
TITLE Chief of Police
CONTROL NO. 100366 CLERK-TREASURER