101235 EVERGREEN MOUNTAIN, LLC v INDIANA RETAIL TAX EXEMPT Page 1 of 1
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CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT ' '235
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APMAR IVOIESNP
EP ME ,PACKINGONNC
SLIPS,
SHIPPING LABELS AND ANY CORRESPONDE,NCE
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1/4/2018 367119
EVERGREEN MOUNTAIN, LLC Police Department
VENDOR PO BOX 1169 SHIP 3 Civic Square
TO Carmel, IN .46032-
TAOS, NM 87571--1169
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22264
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 210 Continuing Education
Account: 43-570.00
1 Each Training $675.00 $675.00
Sub Total $675.00
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Send Invoice To: �' � _ m. __ �
Police Department Fisher-tactical team leader 4/11-4/13 in Indpls,IN
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3 Civic Square `.\
Carmel, IN 46032- ..
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $675.00
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVEDEVERYINVOICE FOR PAYMENTANDVOUUNCLESSHER THE P.O. NUMBER IS MADE A
HAS THE PROPER SWORN
PART OF THE VOUCHER AND
'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. q)''°
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'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELp'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 (�U�
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Jim Barlow 4....
TITLE Chief
CONTROL NO. O 235 CLERK-TREASURER;