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CERTIFICATE
FEDE AL XC SE TAX EXEMPT PURCHA1SEE ORDER N UMBER
ONE CIVIC SQUARE 35-6000972 THIS 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
12/4/2017 368978
APPLIED CONCEPTS INC Carmel Police Department
VENDOR PO BOX 972943 SHIP 3 Civic Square
TO Carmel, IN 46032-
DALLAS,TX 75397--2943 Blaine:Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21213
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE - EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 44-670.99
4 Each LIDAR-RLR-C-w/BT, DL&FTC, 2 Batteries, Dual.Ba $2,295.00 $9,180.00
1 Each shipping $80.00 $80.00
Sub Total $9,260.00
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Send Invoice To: , r .
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 9 PROJECT ACCOUNT AMOUNT
PAYMENT $9,260.00
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 8cr ?�_ 1_— _ ��
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 "�� c=�""'��7 `-� C>
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY \I-,\Jim Barlow James Crider
TITLE Chief Administration V '
CONTROL NO. 101003 CLERK-TREASURER \