HomeMy WebLinkAbout100483 BLOODHOUND POLYGRAPH, INC Cityof Carmel. � INDIANA RETAIL TAX EXEMPT Page 1 of 1
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT 100483
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
6/1/2017 355137
BLOODHOUND POLYGRAPH, INC Carmel Police Department
'VENDOR 3164 ISLAND CLUB COURT SHIP 3 Civic Square
APT C TO Carmel, IN 46032-
. INDIANAPOLIS, IN 46214- Blaine Mallaber
PURCHASE ID 1 BLANKET CONTRACT r PAYMENT TERMS FREIGHT
15772 I
QUANTITY -i UNIT OF MEASURE DESCRIPTION UNIT PRICEEXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-419.99
19 Each applicant polygraph $200.00 $3,800.00
Sub Total $3,800.00
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEAS_ E_ INVOICE IN DUPLICATE
DEPARTMENT ? ACCOUNT f PROJECT 7 PROJECT ACCOUNT W AMOUNT
PAYMENT $3,800.00
•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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ` `
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY --- - --
Jim Barlow
TITLE Chief
CONTROL NO. 100483 CLERK-TREASURER