101575 IMAGING SOLUTIONS AND SERVICES INC it
INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cof Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101575
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
4/13/2018 368825
IMAGING SOLUTIONS AND SERVICES INC Carmel Police Department
VENDOR PO BOX 1000 SHIP 3 Civic Square
TO
DEPT 6 Carmel, IN 46032-
MEMPHIS,TN:38148--0006 Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
25018
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-515.01
4 Each annual scanner maintenance $227.00 $908.00
Sub Total $908.00
Send Invoice To: ,r 11111 �m ` ,
Carmel Police Department . ,
Accounts Payable. rt
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $908.00
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 4
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 le
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ►
Jim Barlow \ �
TITLE Chief
,vk\
CONTROL NO. 101575 CLERK-TREASURER ;