101649 FIELDS OUTDOOR ADVENTURES, LLP - INDIANA RETAIL TAX EXEMPT Page 1 of 1
IIitCity ®f CIiirr.iriie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101649
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 372483
FIELDS OUTDOOR ADVENTURES, LLP Carmel Police Department
VENDOR 126 S. PERKINS STREET SHIP 3 Civic Square
TO Carmel, IN 46032-
RUSHVILLE, IN 46173- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
25776
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-390.10
1 Each Speer Gold Dot 200gr personal protection 10mm auto $415.00 $415.00
Sub Total $415.00
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Send Invoice To: \, _....�.;-- # t'`? �.. ...w_..witlt £N s,
Carmel Police Department /
Accounts Payable
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3 Civic Square
Carmel, IN 46032- it. ,'"
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $41500
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. n
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL �
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'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 vvv
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY —
Jim Barlow
TITLE Chief �t
CONTROL NO. 101649 CLERK-TREASURER