101906 DAVID DICKENS PHOTOGRAPHY INDIANA RETAIL TAX EXEMPT Page 7 of 7
Cit ® are CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101 906
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 \
8/30/2018 _ 360681
"DAVID DICKENS PHOTOGRAPHY Carmel Police Department
VENDOR: 6020 S ROUTIERS AVE SHIP 3 Civic Square -
TO Carmel, IN.46032-
INDPLS, IN 46259- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT .. - . . PAYMENT TERMS .' FREIGHT..
28929
QUANTITY :: : UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 1110 Fund 101 General Fund
Account: 43-419.01
1. Each deptment photo reprint- - $425.00 $425.00
Sub Total $425.00
. - � r mil
It
.
111 k
i n.. e� f�M taA.e, t .
Send Invoice To. i r ." 4-P
Carmel Police Department I .
Accounts Payable
3 Civic Square - .
Carmel, IN 46032- ��� � �
PLEASE INVOICE IN DUPLICATE
DEPARTMENT II ACCOUNT . 1 .. PROJECT .PROJECT ACCOUNT . AMOUNT.
PAYMENT $425.00
SHIPPING INSTRUCTIONS 'ARP 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 UNOBUGATED 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 W
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
TITLE • Chief
CONTROL NO. 101906 CLERK-TREASURER