100577 EMBLEMS INC ity INDIANA RETAIL TAX EXEMPT Page 1 of 1
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100577
ONE CIVIC SQUARE 35-6000972 ____ THIS NUMBER MUST APPEAR ON INVOICES,NP
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
7/17/2017 355678
EMBLEMS INC Carmel Police Department
VENDOR PO BOX 8713 SHIP 3 Civic Square
TO Carmel, IN 46032-
ASHEVILLE, NC 28814- Blaine Mallaber
PURCHASE ID 1 BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF TEN
MEASURE DESCRIPTION UNIT PRICE EXTENSION I
Department: 1110 Fund: 101 General Fund
Account: 43-560.01
100 Each CSO patches $2.72 $272.00
Sub Total $272.00
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT oACCOUNT PROJECT j PROJECT ACCOUNT AMOUNT
PAYMENT $272.00 ./
SHIPPING INSTRUCTIONS *NP 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 et416.4-l.0
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY --- -- - - --
Jim Barlow
TITLE Chief 1.\
CONTROL NO. 100577 CLERK-TREASURER