101356 EMP TECHNICAL GROUP INC INDIANA RETAIL TAX EXEMPT Page 1 of 9
® - , 'EXEM� CERTIFICATE'NO.003120155 002 0 _ PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT101.356
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AMP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
CARMEL:INDIANA 46032-2584
- SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL=1997 -
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PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO: VENDOR NO. - - DESCRIPTION • • - • .
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2/5/2018 _ ' 365197 -.
EMP TECHNICAL GROUP INC Carmel Police Department
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VENDOR: P.O. BOX 743 SHIP 3 Civic Square ;
TO• .. . Carmel,.IN.46032-: H ... .•.
WESTFIELD', IN 46074 Blaine Mallaber ,
PURCHASE ID BLANKET CONTRACT _:: PAYMENT TERMS.:: ... .FREIGHT: . :. ... .
.23113
- QUANTITY :: :- : UNIT OF.MEASURE : DESCRIPTION UNIT PRICE EXTENSION
Department 1110 Fund. 101 General Fund
Account: 44-670.99 •
3 Each 42206161-01E 4600G USB cable 8.5' $14.50 :: : $43.50
1 :Each LB36.91 : Brother mobile car adapter •. : . •. $21.00: : $21.00
- • 1 Each 1900GSR-2USB Honeywell Xenon scanner kit - • • $262.50 $262.50
- 1 Each PJ-722 Pocket Jet printer • $282.00 $282:00
-1 Each'LB3603 USB cable 10' $10.00 : $10.00
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.. Sub Totpl . .. $619.00. .
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Send Invoice-To : r . - : ' :=Y
Carmel.Police Department `
. - ..
Accounts Payable '
3 Civic Square '.
.:Carmel,IN 46032- ... . .
.. . .. .
• PLEASE INVOICE IN DUPLICATE .
. DEPARTMENT ..I. ::: :ACCOUNT:. :. . I::: .. PROJECT ::: :. .I PROJECT ACCOUNT : .. . AMOUNT. . .
::PAYMENT •::. :-. . . :$619.00 .
- -• •SHIPPING INSTRUCTIONS •AR VOUCHEIR CANNOT BE PROVED FOR YMENT 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.:]:HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANC E 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
Jeffrey Hdmer
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TITLE .:. Deputy Chief:. : : ... . ... . .
CONTROL NO. CLERK TREASURER •