HomeMy WebLinkAbout103278 GLENDALE PARADE STORE o INDIANA RETAIL TAX EXEMPT Page 1 of 1
IIitCity of CIIairrnie1 I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103278
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
11/19/2019 366801
GLENDALE PARADE STORE Carmel Police Department
VENDOR 12754 O'CONNOR ROAD SHIP 3 Civic Square.
TO Carmel, IN 46032-
SAN ANTONIO,TX 78233- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41728
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-560.01
3 Each 4521106 police mourning cords $16.50 $49.50
6 Each 1051MP snap military gloves sure-grip $3.15. $18.90
2 Each 1057XP snap military gloves sure-grip $3.95 $7.90
5 Each 1057SP snap military gloves sure-grip $3.95 $19.75
5 Each 1057LP snap military gloves sure-grip $3.95 $19.75
5 Each 1051SP snap military gloves sure-grip $3.15 $15.75
6 Each 1057MP snap military gloves sure-grip $3.95 $23.70
2 Each 1051XP snap military gloves sure-grip $3.15 $6.30
5 Each 1051 LP snap military gloves sure-grip $3.15 $15.75
Sub Total $177.30
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Send Invoice To: d - . t 'S V
Carmel Police Department , ;
Accounts Payable e
3 Civic Square Carmel, IN 46032- j 1
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $177.30
SHIPPING INSTRUCTIONS *AIP 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 v
CONTROL NO. 103278 CLERK-TREASURER U