HomeMy WebLinkAbout100871 L D V, INC u INDIANA RETAIL TAX EXEMPT
Page 1 of 1 it ®f Ia.iriiirie]IC TOPURCHASE NUMBER
.
FEDERAL EXCISE TAX EXEMPT1 �OQ�
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AVP
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
11/2/2017 357257
L D V, INC Carmel Police Department
VENDOR 180 INDUSTRIAL DRIVE SHIP 3 Civic Square
TO Carmel, IN 46032-
BURLINGTON,WI 53105- Blaine Mallaber
PURCHASE ID 1 BLANKET CONTRACT PAYMENT TERMS FREIGHT
20342
I
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-370.00
1 Each 13050230 rear bumper for command vehicle $1,760.78 $1,760.78
1 Each shipping $150.00 $150.00
Sub Total $1,910.78
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT iPROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,910.78
SHIPPING INSTRUCTIONS *AVP 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 t
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 Safe /'S ,t ...a_'L_
4-\AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jeffrey Homer
TITLE Deputy Chief
CONTROL NO. 100871 CLERK-TREASURER