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City of I2nrIT1e]I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102571
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
1/25/2019 364722
ACTION TARGET,INC. Carmel Police Department
VENDOR ATTN:ACCTS RECECIVABLE SHIP 3 Civic Square
PO BOX 636 TO Carmel, IN 46032-
PROVO, UT 84603--0636 Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
33275
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-390.10
50 Each BAC-PLAS5 24 x 48 plastic backer $3.75 $187.50
200 Each DT-3 DT-3 paper targets $0.33 $66.00
500 Each TQ-15DPD-RC modified TQ-15DPD target $0.26 $130.00
1 Each shipping $78.40 $78.40
Sub Total $461.90
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Send Invoice To:
Carmel Police Department "
Accounts Payable '��
3 Civic Square w, i'- ,s , , v, '4, e-'
Carmel, IN 46032- -
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $461.90
SHIPPING INSTRUCTIONS *A/P 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
laidWi AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY 111
Jim Barlow ��
TITLE Chief
CONTROL NO. 102571 CLERK-TREASURER