HomeMy WebLinkAbout101035 CORE SURVIVAL, INC. C ®� CarmeINDIANA RETAIL TAX EXEMPT Page 1 of 1
1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101035
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
12/8/2017 372117
CORE SURVIVAL, INC. Carmel Police Department
VENDOR 4241 116TH TERRACE NORTH. SHIP. 3 Civic Square
TO Carmel, IN 46032-
CLEARWATER, FL 33762- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21433
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-390.10
18 Each HS-640-01B HELSTAR 6 Multi-Function Lgt GEN III, NSW $146.66 $2,639.88
Sub Total $2,639.88
Account 43-421.00:.
1 Each Shipping $18.00 $18.00
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S Totaf $18.00
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Send Invoice To:
Carmel Police Department -`<
Accounts Payable
3 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $2,657.88
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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 \ " _ etowtertj /
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY \ ` \
Jim Barlow V
TITLE Chief n� �p(�
CONTROL NO. 101035 CLERK-TREASURER \V\ �u(�