102007 ROBERT'S DISTRIBUTORS f Carme
INDIANA RETAIL TAX EXEMPT Page 1 of 1
���c1to CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
//// �j FEDERAL EXCISE TAX EXEMPT 1 02007
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
10/16/2018 273975 Cameras for Investigations
ROBERT'S DISTRIBUTORS, INC Fire Department
VENDOR 220 E ST CLAIR ST SHIP 2 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46204-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30121
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.99
10 Each Olympus Battery for TG-5 $29.00 $290.00
10 Each Oylmpus TG-5 Camera $388.00 $3,880.00
10 Each Sandisk 32 GB Ultra SDHC Card $10.84 $108.40
Sub Total $4,278.40
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Send Invoice To:
Fire Department
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2 Civic Square` :.
Carmel, IN 46032- )
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $4,278.40
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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 LABELi _.
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY £ ~
Denise Snyder \\�
TITLE Budget&Accreditation Manager Q
CONTROL NO. 102007 CLERK-TREASURER `�lY�,\