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City of Carmel I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100719
ONE CIVIC SQUARE i 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
1
9/1212017 367769
LAW ENFORCEMENT TARGETS Carmel Police Department
'VENDOR 8802 WEST 35W SERVICE DRIVE NE SHIP 3 Civic Square
TO Carmel, IN 46032-
BLAINE, MN 55449- Blaine Mallaber
PURCHASE ID BLANKET I CONTRACT PAYMENT TERMS FREIGHT
18913
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-390.10
200 Each VTAC-P 2 sided target $0.55 $110.00
100 Each IPSC-CB cardboard targets $0.54 $53.51
500 Each TQ-15 gray targets $0.33 $166.25
1 Each PAST-CB kraft pasters for cardboard targets $3.49 $3.49
Sub Total $333.25
Account: 43-421.00
1 Each shipping $67.75 $67.75
Sub Total $67.75
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE _
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNTAMOUNT
PAYMENT $401.00
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 &vb 'C1416.1 ,/
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY -- �� 1
Jim Barlow \` '
TITLE Chief
CONTROL NO. 100719 CLERK-TREASURER