103094 GLENDALE PARADE STORE ciiity ® moo CarmelINDIANA RETAIL TAX EXEMPT Page 1 of 1
.1ILLLL. CERTIFICATE NO,003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103094
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,ANP
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
9/4/2019 366801
GLENDALE PARADE STORE Carmel Police Department
VENDOR 12754 O'CONNOR ROAD SHIP . 3 Civic Square
TO Carmel; IN 46032-
SAN ANTONIO,TX 78233- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
39447
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 44-630.00
4 Each 84W oak flag pole 8:x11/4", brass joint $50.95 $203.80
4 Each 7GE perched eagle,gold,7 $37.25 $149.00
1 Each shipping $30.00 $30.00
Sub Total $382.80
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Send Invoice To: ;
Carmel Police Department k
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Accounts Payable -
3 Civic Square '' ;, ., _-
Carmel, IN 46032= '`',.1*
PLEASE �"
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $382.80
SHIPPING INSTRUCTIONS 'A!P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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 /,
Jim Barlow
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TITLE Chief
CONTROL NO. 1 03094 CLERK-TREASURER