102372 UNCLE BILL'S PET SUPERSTORE itr INDIANA RETAIL TAX EXEMPT Page 1 of 1
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CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102372
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
12/12/2018 370126
UNCLE BILL'S PET SUPERSTORE Carmel Police Department
VENDOR 3720 GEORGETOWN RD SHIP 3 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46224- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32144
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-576.00
I Each Blue Buffalo Dry Dog Food $840.00 $840.00
Sub Total $840.00
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Send Invoice To: P ,_,..a... -,Q,
Carmel Police Department �� �
Accounts Payable
3 Civic Square "
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Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $840.00
SHIPPING INSTRUCTIONS 'AIP 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 A
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 188_ 7 Yc
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY A5..%
Jim Barlow ��
TITLE Chief
CONTROL NO. 102372 CLERK-TREASURER