101605 C T W ELECTRIC CO INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of I1nrriie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101605
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
4123/2018 00351425
C T W ELECTRICAL CO, INC Carmel Police Department
VENDOR 749 COMMERCE PARKWAY WEST DR SHIP 3 Civic.Square
TO Carmel, IN 46032-
GREENWOOD, IN 46143- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
25322
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-510.00
1 Each new car equipment installation pieces $1,925.10 $1,925.10
Sub Total $1,925.10
F
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Send Invoice To: . .la. .. . u., p ,. ,, :%-a.,::•,1,
Carmel Police Department '''' -,
Accounts Payable Nr by . ,.
3 Civic Square N. g r
Carmel, IN 46037- * V 4
'
PLEASE INVOICE IN DUPLICATE ry
DEPARTMENT 1 ACCOUNT PROJECT G PROJECT ACCOUNT N AMOUNT
PAYMENT $1,925.10
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 (� \\60'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ( `' �� "4 w
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow /
TITLE Chief
CONTROL NO. 101605 CLERK-TREASURER