101805 AXON ENTERPRISE INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
IiitCity of Ciairiiiiie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101805
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/19/2018 00352614
AXON ENTERPRISE INC Carmel Police Department
VENDOR PO BOX 29661 SHIP 3 Civic Square
DEPT 2018 TO Carmel, IN 46032-
PHOENIX,AZ 85038--9661 Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
27717
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-390.10
4 Each 26700 DPM battery pk-assembled $42.00 $168.00
1 Each 44973 Holster, Blackhawk, Left,X26P $41.00 $41.00
5 Each 44972 Holster, Blackhawk, right,X26P $41.00 $205.00
Sub Total $414.00
3
ba .a'' Y f X
x ,
Send Invoice To: ,.a.,.
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 0 PROJECT PROJECT ACCOUNT b AMOUNT
PAYMENT $414.00
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 erW
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �\
Jim Barlow
TITLE Chief
CONTROL NO. 101805 CLERK-TREASURER