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1II ll t ®f Carme1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 02569
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
1/24/2019 279500
JAMES SEMESTER Police Department
VENDOR 646 JOHNSON DR SHIP 3 Civic Square
TO Carmel; IN 46032-
CARMEL,IN 46033-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
33253
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 210 Continuing Education
Account: 43-570.00
1 Each reimbursement $185.00 $185.00
Sub Total $185.00
Send Invoice To: '' ,.�f _ ,. . _ . ... .,�eA"
Police Department '`
ky;
3 Civic Square ' ;7:., g �..� I
Carmel, IN 46032- '1
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT 1 PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $185.00
*A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS 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 \}J'sw-%„' \�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY (I
Jim Barlow rv\
TITLE Chief \
CONTROL NO. 102569 CLERK-TREASURER