101935 KIESLER POLICE SUPPLY INC CityINDIANA RETAIL TAX EXEMPT Page 1 of 1
ofIairirruie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101935
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL—1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9/10/2018 173590
KIESLER POLICE SUPPLY INC Carmel Police Department
VENDOR 2802 SABLE MILL ROAD SHIP 3 Civic Square
TO Carmel, IN 46032-
JEFFERSONVILLE, IN 47130- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
29162
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 44-670.03
3 Each COLTLE6920- Colt M4Carbine 5.56 semi-auto, 16" $1,122.40 $3,367.20
EPR**
10 Each GlockPGI17507 Glock 17 GEN4 9mm GNS 5Ib LE $409.00 $4,090.00
1 Each GLOCPG19507** Glock 19 GEN4 9mm GNS 5Ib LE $409.00 $409.00
20 Each MAGPMAG557- MAGPUL PMAG 30 AR/M4 GENS M3-BLK $11.18 $223.60
BLK
1 Each shipping $65.00 $65.00
Sub Total $8,154.80
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Send Invoice To:
Carmel Police Department '� 'QUOTE 00875622 _"" Pfi4
Accounts Payable
3 Civic Square "',� s� '�.
Carmel, IN 46032- �` s M�=
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT b PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $8,154.80
•A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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 APPEARALL SHIPPING LABEL `/ (� . _
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �k)
Jim Barlow James Crider
TITLE Chief Administration
CONTROL NO. 101935 CLERK-TREASURER 4