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INDIANA RETAIL TAX EXEMPT Page 1 of 1
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CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100452
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
I
5/1812017 313000
THE UNIFORM HOUSE, INC. Carmel Police Department
1VENDOR 1927 NORTH CAPITOL AVE. SHIP 3 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS,IN 46202- Blaine Mallaber
PURCHASE ID j BLANKET ' CONTRACT 1 PAYMENT TERMS FREIGHT
15470
1 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-560.01
1 Each new officer uniform $645.75 $645.75
Sub Total $645.75
Account: 43-560.02
1 Each new officer uniform accessories $1,102.96 $1,102.96
Sub Total $1,102.96
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT f PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,748.71
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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 1541.040‘4.3 (\
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY --- \
Jim Barlow l
TITLE Asst.Chief
±_r)
CONTROL NO. 1004552 CLERK-TREASURER