HomeMy WebLinkAbout101019 KIESLER POLICE SUPPLY INC INDIANA RETAIL TAX EXEMPT Page 1 of 1Cityof I1a]rr1nIe1PURCHASE NUMBE..
CERTIFICATEFEDERAL EXCISE TAX EXEMPTO PURCHAISEo1 ORODEIRnUMB.R
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
12/6/2017 173590
KIESLER POLICE SUPPLY INC Carmel Police Department
VENDOR 2802 SABLE MILL ROAD SHIP 3 Civic Square
TO Carmel, IN.46032-
JEFFERSONVILLE, IN 47130- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21309
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-390.10
3 Each SUREM600DF-BK SUREFIRE M600DF-BK WEAPONLIGHT, BLACK COOAE $216.00 $648.00
Sub Total $648.00
Account` 43-421.00
1 Each shipping $15.00 $15.00
Sub Total, $15.00
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Send Invoice To: . ,,.
Carmel Police Department
Accounts Payable
3 Civic Square ,4=
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $663.00
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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 \ \
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
TITLE Chief \11X4`,�
CONTROL NO. 101019 CLERK-TREASURER 'wJ�J