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ICity of Ciine]I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER/
✓FEDERAL EXCISE TAX EXEMPT 100537
1 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENC
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE I DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6/29/2017 370649
- —
CITY OF LAFAYETTE I Police Department
VENDOR 20 N.6TH STREET SHIP 3 Civic Square
TO Carmel, IN 46032-
LAFAYETTE, IN 47901 -
PURCHASE ID BLANKET CONTRACT ' PAYMENT TERMS I FREIGHT
16685 I� 1
QUANTITY 1 I UNIT OF MEASURE j DESCRIPTION UNIT PRICE EXTENSION I
Department: 1110 Fund: 210 Continuing Education
Account: 43-570.00
1 Each training $270.00 $270.00
Sub Total $270.00
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Send Invoice To: �`"� ` ;'' ";� z., ��r '
Police Department .,,, £a
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3 Civic Square •" a ,
Carmel, IN 46032- 4
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $270.00
*A/P 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 LASE
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
TITLE Chief
CONTROL NO. 1 00537 CLERK-TREASURER