101898 BROWNELLS INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
ciiCity of iiiririnie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101898
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
8/28/2018 00352583
BROWNELLS INC Carmel Police Department
VENDOR 3006 BROWNELLS PARKWAY SHIP 3 Civic Square
TO Carmel, IN 46032-
GRINNELL, IA 50112- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
28819
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-390.10
1 Each Shipping $3.95 $3.95
10 Each Viking Tactics light mount $22.74 $227.40
7 Each Viking Tactics VTAC padded slings $40.69 $284.83
Sub Total $516.18
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Send Invoice To: ; ?
Carmel Police Department fl. ,
Accounts Payable
3 Civic Square NR i`= x
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $516.18
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 1945lakdi4
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY \
Jim Barlow O
TITLE Chief
CONTROL NO. 101898 CLERK-TREASURER