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City of Carmel , CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100451
ONE CIVIC SQUARE 1
1 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
I 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
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PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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4113/2017 353981
GALLS INC.-CHICAGO Carmel Police Department
VENDOR PO BOX 71628 SHIP 3 Civic Square
I TO
Carmel, IN 46032-
CHICAGO,IL 60694--1628 Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
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14524
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 1 EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-560.02
1 Each JA836 5.11 tactical reversible hi-vis duty jacket $104.50 $104.50
1 Each Level 3A vest $824.75 $824.75
1 Each tourniquet $28.89 $28.89
Sub Total $958.14
Send Invoice To:
Police Department Rogowski
Accounts Payable
3 Civic Square
Carmel, IN 46032-
—
- -
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT I
PAYMENT $958.14
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 ......_p____-,„...-",_,,.
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 `":00. `
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY — T
Tim Green
TITLE Chief of Police (\
CONTROL NO. 100451 CLERK-TREASURER `�