101876 ACTION TAGET, INC. INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101876
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
8/21/2018 364722
ACTION TARGET,INC. Carmel Police Department
VENDOR ATTN:ACCTS RECECIVABLE SHIP 3 Civic Square
PO BOX 636 TO Carmel, IN 46032-
PROVO, UT 84603--0636 Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
28652
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-390.10
1 Each B27 targets x 200 $72.00 $72.00
1 Each shipping $39.50 $39.50
1 Each TQ-15 targets x 500 $165.00 $165.00
1 Each VTAC targets x 100 $55.00 $55.00
Sub Total $331.50
r
„1 .dry ' i �y';
a
Q
i
I f ie
t
Send Invoice To: .��
Carmel Police Department 4
Accounts Payables
3 Civic Square .p
Carmel, IN 46032- . e I 1.44:31- .„,---
-,,,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $331.50
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 ()C‘'' ''
i*S' ''CD
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �h
Jim Barlow _
TITLE Chief /(` V`�i
CONTROL NO. 101876 CLERK-TREASURER VCV�