1012139 EMBROIDERY PLUS INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carme� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102139
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
11/20/2018 00350432 Uniforms
EMBROIDERY PLUS Fire Department
VENDOR 5514 W.WASHINGTON STREET SHIP 2 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46241 -
PURCHASE ID 1 BLANKET CONTRACT PAYMENT TERMS FREIGHT
31223
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-560.01
1 Each Uniforms $1,251.00 $1,251.00
Sub Total $1,251.00
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Send Invoice To: 33 d
Fire Department \ ��
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2 Civic Square
Carmel, IN 46032- , , .-- `
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $1,251.00
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 1945 `"~ `""•""''''-' --•• ''°' ' `°`"
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
Denise Snyder
TITLE Budget&Accreditation Manager
CONTROL NO. 102139 CLERK-TREASURER