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INDIANA RETAIL TAX EXEMPT Page 1 of 1
� ®fcI1air]r1r1Ie1CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 00882
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO.PACKING SLIPS,
1FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
1
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/7/2017 371685
JK PROPERTY SOLUTIONS, INC. Cannel Police Department
VENDOR 1776 N. MERIDIAN SHIP 3 Civic Square
SUITE 500 TO Carmel, IN 46032-
INDIANAPOLIS, IN 46202- Blaine Mallaber
PURCHASE ID BLANKET 1 CONTRACT PAYMENT TERMS FREIGHT
20529 j
— - — -
QUANTITY t UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-501.00
1 Each renovate CPD locker room showers(4) $9,650.00 $9,650.00
Sub Total $9,650.00
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
L DEPARTMENT I ACCOUNT PROJEC1 -1 PROJECT ACCOUNT AMOUNT
PAYMENT $9,650.00
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 1 ' - ''
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 S / /ys.�.�— `'– '�-c;
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY - — --- -- — \�\
Jeffrey Horner James Crider
TITLE Deputy Chief Administratic�i\
CONTROL NO. 100882 CLERK-TREASURER
