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HomeMy WebLinkAbout100638 KUSTOM SIGNALS, INC. INDIANA RETAIL TAX EXEMPT Page 1 of 1 City of CERTIFICATE003120155 002 FEDERAL EXC ISTAX EXEMPTO PURCHASEORDER NUMBER 38 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 819/2017 178620 KUSTOM SIGNALS, INC Carmel Police Department VENDOR PO BOX 776238 SHIP 3 Civic Square TO Carmel, IN 46032- CHICAGO, IL 60677--6238 Blaine Mallaber PURCHASE ID BLANKET I CONTRACT PAYMENT TERMS FREIGHT 18042 QUANTITY f UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1110 Fund: 101 General Fund Account: 43-500.00 2 Each radar re-cert $153.00 $306.00 Sub Total $306.00 Send Invoice To: Carmel Police Department Accounts Payable 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT j _ PROJECT PROJECT ACCOUNT I AMOUNT PAYMENT $306.00 SHIPPING INSTRUCTIONS 'NP 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 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY — -- Jim Barlow TITLE Chief CONTROL NO. 100638 CLERK-TREASURER