102252 EMP TECHNICAL GROUP INC v INDIANA RETAIL TAX EXEMPT Page 1 of 1
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CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
�/Jl FEDERAL EXCISE TAX EXEMPT 102252
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
12/6/2018 365197
EMP TECHNICAL GROUP INC Carmel Police Department
VENDOR 'P.O. BOX 743 SHIP 3 Civic Square
TO, Carmel, IN 46032-
WESTFIELD, IN 46074- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31750
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE' EXTENSION
Department 1110 Fund: 101 General Fund
Account: 44-640.00
7 Each LB3690 Brother printer mobile car adapter $17.50 $122.50
1 Each 1900GSR-2USB Honeywell Xenon scanner kit x 7 $1,834.00 $1,834.00
7 Each PJ-722 Pocket Jet printer $282.00 $1,974.00
7 Each.LB3602 USB cable 6 foot $7.75 $54.25
2 Each CBL-500-300S00 Xenon 1900 USB Cable, 9.8 foot length $15.75 $31.50
Sub Total $4,016.25
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Send Invoice To:
Carmel Police Department
Accounts Payable `
3 Civic Square
t4 0
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $4,016.25
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 i
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
TITLE Chief
CONTROL NO. 102252 CLERK-TREASURER