HomeMy WebLinkAbout100723 KRAV MAGA WORLDWIDE INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100723
ONE CIVIC SQUARE _ 35-6000972 THS 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
9/12/2017 369684
KRAV MAGA WORLDWIDE Police Department
VENDOR 15233 VENTURA BLVD#100 SHIP 3 Civic Square
ATTN: FORCE TRAINING DIVISON TO Carmel, IN 46032-
SHERMAN OAKS,CA 91403-
PURCHASE ID I BLANKET I CONTRACT PAYMENT TERMS FREIGHT
18925
QUANTITY + UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 210 Continuing Education
Account: 43-570.00
1 Each instructor certification course $750.00 $750.00
Sub Total $750.00
Send Invoice To:
Police Department Shane Collins-instructor course 9/18-9/22 in Fishers, IN
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I— ACCOUNT p PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $750.00
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 4e1.0
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY —
Jim Barlow
TITLE Chief
CONTROL NO. 100723 CLERK-TREASURER -