101645 ADORAMA INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of IIairiinie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101645
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
5/8/2018 367180
ADORAMA Carmel Police Department
VENDOR 42 WEST 18TH ST SHIP 3 Civic Square
TO Carmel, IN 46032-
NEW YORK, NY 10011 - Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
25760
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 44-630.00
1 Each double card fingerprint pedestal $312.45 $312.45
Sub Total $312.45
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Send Invoice To: t ,,,-tn:'
Carmel Police Department ,�
Accounts Payable , ` ,, "
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT .I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $312.45
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*GOD.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 8 Q
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY o
Jim Barlow t/,..
TITLE Chief11
CONTROL NO. 101645 CLERK-TREASURER �4.
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