102079 EMBROIDERY PLUS INDIANA RETAIL TAX EXEMPT Page 1 of 1
Ctyi ®f IIaiirinnie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102079
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
11/7/2018 00350432 Uniforms
EMBROIDERY PLUS Fire Department
VENDOR 5514 W.WASHINGTON STREET SHIP 2 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46241 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30799
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-560.01
162 Each Workout Bag $28.00 $4,536.00
Sub Total $4,536.00
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Carmel, IN 46032- ''K' - — �b
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $4,536.00
SHIPPING INSTRUCTIONS 'NPVOUCHER 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 LABEL _ `--
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 = '' `' `'
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. /�
Denise i anon ``
TITLE Budget&Accreditation Manager \\
CONTROL NO. 102079 CLERK-TREASURER ``.•