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City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100602
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP w
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. C VENDOR NO. DESCRIPTION
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7/21/2017 371003
TESTING FOR PUBLIC SAFETY LLC Carmel Police Department
IIVENDOR 5948 N. COLLEGE AVENUE SHIP 3 Civic Square
SUITE 200 TO Carmel, IN 46032-
INDIANAPOLIS,IN 46220- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT ', PAYMENT TERMS FREIGHT
- - - -
QUANTITY UNIT OF - _ - _- --
17405
MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-419.10
1 Each Promotional testing $15,350.00 $15,350.00
Sub Total $15,350.00
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Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032- _
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $15,350.00
SHIPPING INSTRUCTIONS *A/P 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.0 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 ate4,••-•v
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow Douglas Haney
TITLE Chief Corporation Counsel
CONTROL NO. 1 00602 CLERK-TREASURER