103283 EWING PRINTING CO o INDIANA RETAIL TAX EXEMPT Page 1 of 1
LIII .City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103283
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
1112112019 00350630
EWING PRINTING CO INC Carmel Police Department
VENDOR 1838 E.INVERNESS CIRCLE SHIP 3 Civic Square
TO Carmel, IN 46032-
COLUMBIA CITY,IN 46725- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS •FREIGHT'.
41776
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-301.00
1 Each CPD work diary x 30 $166.50 $166.50
Sub Total $166.50
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Send Invoice To: „ _..
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Carmel Police Department ``_ ":.� p A
Accounts Payable �, � .., ,
3 Civic Square
Carmel, IN 46032- ,h„ al,,,,,'"�` ' P
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $166.50
'ANP 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 � � �r�
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 V
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow \
TITLE Chief ��
CONTROL NO. 103283 CLERK-TREASURER