101869 BRATEMEN'S INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of CIIIatrinrie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
JFEDERAL EXCISE TAX EXEMPT 101869
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
811612018 369981
BRATEMAN'S INC. Carmel Police Department
VENDOR 5326 COLDWATER ROAD SHIP 3 Civic Square
TO Carmel, IN 46032-
FORT WAYNE, IN 46825- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
28523
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-560.01
2 Each Carmel PD badge FLAT GOLD $89.00 $178.00
1 Each Carmel PD badge FLAT GOLD RETIRED $89.00 $89.00
5 Each Carmel PD badge FLAT SILVER $84.00 $420.00
2 Each Carmel PD badge SHIRT GOLD $89.00 $178.00
5 Each Carmel PD badge SHIRT SILVER $84.00 $420.00
Sub Total $1,285.00
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Send Invoice To: E _,L.-!':,i__
Carmel Police Department 'p '"Zellers, Myers, Driver, new officer �.
Accounts Payable71
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3 Civic Square da
Carmel, IN 46032- "
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT B AMOUNT
PAYMENT $1,285.00
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 � ti\.
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
TITLE Chief
CONTROL NO. 1 01869 CLERK-TREASURER