101807 DEANNA D. DUBIN INDIANA RETAIL TAX EXEMPT Page 1 of 1
City
of (cjj 'ji- -]je]1}� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 0 1 807
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
7/19/2018 367261
DEANNA D. DUBIN Carmel Police Department
VENDOR 108 20TH AVENUE NORTH SHIP 3 Civic Square
TO Carmel, IN 46032-
GREENWOOD, MO 64034- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
27732
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-301.00
1 Each K9 cards-Axl $106.00 $106.00
1 Each K9 cards-Bailey $106.00 $106.00
Sub Total $212.00
5.
Send Invoice To: a ,_
' - ' = -,, Pi.,--, ...
Carmel Police Department
Accounts Payable ,"
3 Civic Square
Carmel, IN 46032- �.. x
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $212.00
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 h
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 siENC0——
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BYv \o\k_1:•)
Jim Barlow
TITLE Chief AT'v
CONTROL NO. 101807 CLERK-TREASURER