101647 JAKE LAIRD GOLF OUTING INDIANA RETAIL TAX EXEMPT Page 1 of 1
IIitCity of IIaririnie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101647
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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 361540
JAKE LAIRD GOLF OUTING Police Department
VENDOR 20491 COUNTRY PINE COURT SHIP 3 Civic Square
TO Carmel, IN 46032-
NOBLESVILLE, IN 46062-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
25763
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 852 Police Gift Fund
Account: 50-239.90
1 Each Golf Outing $500.00 $500.00
Sub Total $500.00
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Send Invoice To: ' . ; _�, . ---
Police
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3 Civic Square - 'tC, ' "a
Carmel, IN 46032-
PLEASE
PLEASE INVOICE IN DUPLICATE
DEPARTMENT [ ACCOUNT PROJECT I PROJECT ACCOUNT 1 AMOUNT
PAYMENT $500.00
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 1AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
TITLE Chief
CONTROL NO. 101647 CLERK-TREASURER