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F- RTIFICATENO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100636
ONE CIVIC SQUARE 35-6000972 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
8/8/2017 354912
R J E BUSINESS INTERIORS Carmel Police Department
VENDOR 621 E OHIO ST SHIP 3 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46202- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
18021
L_
QUANTITY UNIT OF -
MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 44-630.00
1 Each 36N48144RTW Captivate,48DX144W,conference top, rectange,wood $2,772.00 $2,772.00
1 Each 10N144PNKW universal,for 144W top, panel base kit,wood $1,975.50 $1,975.50
Sub Total $4,747.50
Send Invoice To:
Carmel Police Department EOC conference table
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT ' PROJECT ACCOUNT AMOUNT
PAYMENT $4,747.50
SHIPPING INSTRUCTIONS *AQP 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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 lat4vi�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY -
Jim Barlow
TITLE Chief
CONTROL NO. 100636 CLERK-TREASURER