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ClIt)TCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100414
ONE CIVIC SQUARE 35-6000972 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
5/4/2017 355158
j LAFAYETTE INSTRUMENT Carmel Police Department
1VENDOR PO BOX 5279 SHIP 3 Civic Square
TO Carmel, IN 46032-
LAFAYETTE,IN 47903- Blaine Mallaber
PURCHASE ID 7 BLANKET CONTRACT PAYMENT TERMS FREIGHT
15110
[— QUANTITY UNIT OF MEASURE DESCRIPTION ! UNIT PRICE j EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-500.00
1 Each ple adapter for 1x4000 style das $95.00 $95.00
1 Each 76604A-5L ple f/lx5000 long hirose sytle $395.00 $395.00
1 Each shipping $14.20 $14.20
1 Each 76530 standard kovacic arm cuff gold $70.00 $70.00
Sub Total $574.20
Send Invoice To:
Carmel Police Department QUOTE 010172-00
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
j DEPARTMENT I ACCOUNT PROJECT 1 PROJECT ACCOUNT tF AMOUNT
PAYMENT $574.20
SHIPPING INSTRUCTIONS *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
'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 .. ..---77----',...... -1
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 – d- f <"\
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Tim Green
TITLE Chief of Police }
CONTROL NO. 100414 CLERK-TREASURER