100972 SYMBOL ARTS INDIANA RETAIL TAX EXEMPT
Page 1 of 1Cit of c1airirrie1 CERTIFICATE O PURCHASE ORDER
NUMBER U MBE R
FEDERAL EXCISE TAX EXEMPT ®r ���
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,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
11/28/2017 364768
SYMBOL ARTS Carmel Police Department
VENDOR 6083 SOUTH 1153 EAST SHIP 3 Civic Square
TO
Carmel, IN 46032-
OGDEN, UT 84405- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT. PAYMENT TERMS.. FREIGHT
20983
QUANTITY UNIT OF MEASURE - DESCRIPTION UNIT PRICE :: EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-450.02
300 Each challenge.coins $4.65
$1,395.00
1 Each shipping $85.00 $85.00
Sub Total . $1,480.00
SCANNED
NOV 29 Tu
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel,IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,480.00
SHIPPING INSTRUCTIONS •ARVOUCHER 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 80.4, i \`
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
TITLE Chief \\�/` '
CONTROL NO. 100972 CLERK-TREASURER Y �y,