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INDIANA RETAIL TAX EXEMPT Page 1 of 1
atCanalCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100491
ONE CIVIC SQUARE 135-6000972 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
6/6/2017 362779
LEACH&RUSSELL Carmel Police Department
VENDOR 9151 FORD CIRCLE SHIP 3 Civic Square
TO Carmel, IN 46032-
FISHERS, IN 46038- Blaine Mallaber
PURCHASE ID BLANKET 1 CONTRACT i PAYMENT TERMS FREIGHT
!
15977
QUANTITY UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE ' EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-515.01
1 Each Annual maintenance agreement $3,800.00 $3,800.00
Sub Total $3,800.00
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
TE
DEPARTMENT ACCOUNT PROJECT ! PROJECT ACCOUNT AMOUNT
PAYMENT $3,800.00
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 A - j�
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 1`�` C _+ e'"^ooW
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ---------
Jim Barlow
TITLE Chief
CONTROL NO. 100491 CLERK-TREASURER Nk