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City of C�c�anal CERTIFICATE NO.003120155 002 0PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 00936
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM 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
11/16/2017 00352583
BROWNELLS INC Carmel Police Department
VENDOR 3006 BROWNELLS PARKWAY SHIP 3 Civic Square
TO Carmel, IN 46032-
GRINNELL, IA 50112- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS ? FREIGHT
20782
QUANTITY I UNIT OF MEASURE -I DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-390.10
4 Each 084-068-005WB #5 square patches 3"16-12 GA $35.04 $140.16
12 Each 664-100-022WB .22 rifle bore snake $13.99 $167.88
3 Each 664-300-012WB 12ga shotgun bore snake $13.00 $39.00
2 Each 664-200-400WB 40 pistol bore snake $11.99 $23.98
12 Each 234-000-114WB 6-HDB handgun leaning rod $18.49 $221.88
12 Each 664-200-938WB 9MM-357 pistol bore snake $13.99 $167.88
1 Each Shipping $3.95 $3.95
Sub Total $764.73
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
E
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $764.73
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 1w
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow \\\
TITLE Chief ei
CONTROL NO. 1 00936 CLERK-TREASURER