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City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102868
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOI ,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
5/8/2019 373303
SOUTHWEST SOLUTIONS GROUP INC Carmel Police Department
VENDOR 2535 E SH121 SUITE 110B SHIP 3 Civic Square
TO Carmel, IN 46032-
LEWISVILLE,TX 75056- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
36096
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-390.99
20 Each SMS-21- Property room assault rifle storage bag $6.64 $132.80
PCGBRFA463665I
MP
50 Each SMS-21- Property room shotgun storage bag $6.48 $324.00
PCGBSG543665I
MP
1 Each shipping $23.98 $23.98
Sub Total $480.78
0 CAS
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Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032- 4
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $480.78
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 LABE
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 ato'"-,"' la La if
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
TITLE Chief
CONTROL NO. 1 02868 CLERK-TREASURER