102395 KIESLER POLICE SUPPLY INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
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of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102395
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
1211412018 173590
KIESLER POLICE SUPPLY INC Carmel Police Department
VENDOR 2802 SABLE MILL ROAD SHIP 3 Civic Square
TO Carmel, IN 46032-
JEFFERSONVILLE, IN 47130- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32209
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE. EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 44-670.03
1 Each shipping $15.00 $15.00
5 Each Surefire Fury DFT single output 1500 lumens-black $150:36 $751.80
Sub Total $766.80
s
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square yz
_
Carmel,IN 46032- •
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $766.80
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 �c
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow \�jV
TITLE Chief
CONTROL NO. 102395 CLERK-TREASURER