HomeMy WebLinkAbout103507 SIRCHIE INDIANA RETAILTAX EXEMPT Page 1 of 1
City
of iI]r]r]r1Ie1
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103507
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,ANP
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
12/12/2019 00350555
SIRCHIE Carmel Police Department
VENDOR 100 HUNTER PLACE. SHIP; 3 Civic Square
TO Carmel, IN 46032-
YOUNGSVILLE,'NC 27596- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT:.
42500
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101' General Fund -
Account: 42-390.99
2 Each Acrylic Magnified glass $65.50 $131.00
3 Each Lift cards-LPW1505 $19.60. .: $58.80
Sub Total $189.80
SCANNED
,' a DECLUIJ
D 1 �
,.
,R y
leg .,—,--ztr,V
I
Send Invoice To: mti r (:: TY R
Carmel Police Department
Accounts Payable
3 Civic Square IF
Carmel,IN 46032- 1 "
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $189.80
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 \v
`THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
TITLE Chief
CONTROL NO. 1 03507 CLERK-TREASURER