102425 SUSAN SHERER VINCENT, INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of IIaritiiie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102425
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
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PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/17/2018 372553
SUSAN SHERER VINCENT, INC Carmel Police Department
VENDOR 23 S.8TH STREET SHIP 3 Civic Square
TO Carmel, IN 46032-
NOBLESVILLE, IN 46060- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32258
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43407.03
1 Each Mental Health Consultant Agreement $5,400.00 $5,400.00
Sub Total $5,400.00
SCANNED
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Send Invoice To: s :...�w• .a_ .. m� _ ...,._
Carmel Police Department
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Accounts Payable %
3 Civic Square
Carmel, IN 46032- -N- ,,tt i , ,-1 ,0
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $5,400.00
'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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 8r.•••••••-•
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'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ��}J� • -
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ��
Jim Barlow James Crider
TITLE Chief Administration , �
CONTROL NO. 102425 CLERK-TREASURER
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