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City o-f Ciirniie1I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100610
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL, INDIANA 46032-2584 h 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. T VENDOR NO. DESCRIPTION
7/26/20171 00352614
AXON ENTERPRISE INC Carmel Police Department
,VENDOR 17800 NORTH 85TH ST SHIP 3 Civic Square
TO Carmel, IN 46032-
SCOTTSDALE,AZ 85255--9306 Blaine Mallaber
PURCHASE ID i BLANKET CONTRACT j PAYMENT TERMS FREIGHT
17588
QUANTITY ' UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 44-670.03
4 Each 11002 handle, black,class III,X26P $964.05 $3,856.20
1 Each 11504 holster, Blackhawk,left,X26P $57.04 $57.04
3 Each 11501 holster, Blackhawk, right,X26P $57.04 $171.12
4 Each 22010 PPm, battery pack,standard,X2/X26P $58.38 $233.52
1 Each shipping $60.45 $60.45
Sub Total $4,378.33
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Send Invoice To: P. _;__ , !,
Carmel Police Department
Accounts Payable ,
3 Civic Square
t
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $4,378.33
*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
TITLE Chief
CONTROL NO. 100610 CLERK-TREASURER