101579 INDY PUBLIC SAFETY FOUNDATION INDIANA RETAIL TAX EXEMPT Page 1 of 1
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Jlt ll®f Care1 CERTIFICATENO.0031201550020 PURCHASE ORDER NUMBER
/ FEDERAL EXCISE TAX EXEMPT 1 01 579
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 372368
INDY PUBLIC SAFETY FOUNDATION Police Department
VENDOR 200 E.WASHINGTON STREET SHIP 3 Civic Square
E241 TO Carmel, IN 46032-
INDIANAPOLIS, IN 46204- -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
25023
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 210 Continuing Education
Account: 43-570.00
1 Each IMPD Homicide Conference
$1,650.00 - $1,650.00
Sub Total $1,650.00
71-114
Send Invoice.To: " � :, �
Police Department '6 attendees 5/14-5/18 Indianapols IN
3 Civic Square %; 1I
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,650.00
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
Zy4
TITLE Chief
CONTROL NO. 101579 CLERK-TREASURER