101764 FORE SMART PROMOTIONS INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cito-f iarrrie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101764
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
7/3/2018 369534
FIRE SMART PROMOTIONS Carmel Police Department
VENDOR 1 BEISTLE PLAZA SHIP 3 Civic Square
TO Carmel, IN 46032-
SHIPPENSBURG, PA 17257- Blaine Mallaber
PURCHASE ID 1 BLANKET I CONTRACT I PAYMENT TERMS FREIGHT
27289
QUANTITY + UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-450.02
500 Each S18044i paper police hat-custom print $0.50 $250.00
Sub Total $250.00
X 1
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Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
_ PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I _ PROJECT I PROJECT ACCOUNT AMOUNT J
PAYMENT $250.00
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
Nillsy-
Jim Barlow
TITLE Chief ^ �e:- .\\:
CONTROL NO. 101764 CLERK-TREASURER ^ O1\