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(( 1t of (cjI]Ir1-jje]1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
, FEDERAL EXCISE TAX EXEMPT 100935
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SUPS,
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
11/16/2017 353981
GALLS INC.-CHICAGO Carmel Police Department
VENDOR PO BOX 71628 SHIP 3 Civic Square
TO Carmel, IN 46032-
CHICAGO, IL 60694--1628 Blaine Mallaber
PURCHASE ID BLANKET 1 CONTRACT 1 PAYMENT TERMS FREIGHT
20775
T OF - 1DESCRIPTION -i - T CE
- QUANTITY UNIT MEASURE UNIT PRICE I EXTENSION _JI,
Department: 1110 Fund: 101 General Fund
Account: 43-560.03
3 Each TB279 BLK CTM Shift 360 single platform $475.00 $1,425.00
6 Each BF218 BLK CTM Shift abdomen&spine SMO2 $142.00 $852.00
3 Each BF217 BLK CTM Shift cummerbund SMO2 $259.00 $777.00
3 Each BF222 BLK CTM Shift groin SMO2 $225.00 $675.00
3 Each BF216 BLK CTM Shift shoulders-SMO2(set of 2) $169.00 $507.00
Sub Total $4,236.00
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT IPROJECT PROJECT ACCOUNT AMOUNT I
PAYMENT $4,236.00
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 A
`THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 `" )r,- E'..".rW
k
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
TITLE Chief e
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CONTROL NO. 100935 CLERK-TREASURER