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City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100532
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
CARMEL, INDIANA 46032-2584 SHIPPING LABELS AND ANY CORRESPONDENC
,FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
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PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. 1 VENDOR NO. DESCRIPTION
6/27/2017 � 368978
APPLIED CONCEPTS INC 1 Carmel Police Department
VENDOR PO BOX 972943 SHIP 3 Civic Square
TO Carmel, IN 46032-
DA
L BLANKET 75 CONTRA PAYMENT TERMS Blaine Mallaber
FREIGHT
PURCHASE ID
16654
QUANTITY i UNIT OF - _ I
MEASURE DESCRIPTION I UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-421.00
1 Each shipping $60.00 $60.00
Sub Total $60.00
Account: 44-670.99
3 Each DSR 2X Harley Davidson Radar package $3,215.00 $9,645.00
Sub Total $9,645.00
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Send Invoice To: 1'4 '�a
Carmel Police Department QUOTE#2010025 .,
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Accounts Payable <.4 /
3 Civic Square p w
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Carmel, IN 46032- L: f
PLEASE INVOICE IN DUPLICATE
RE
DEPARTMENT ACCOUNT PROJECT PROJECTT
ACCOUNT i AMOUNT y
PAYMENT $9,705.00
*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 LABE
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY — ---- ------- --- --
Jim Barlow Douglas Haney
TITLE Chief Corporation Counsel
CONTROL NO. 1 00532 CLERK-TREASURER