HomeMy WebLinkAbout24696 Chapman Electric SupplyCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
24696
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
311/12015
- ,_.
5...<5._. . i?z,.._. �.�N---, o�.._.__..
VENDOR
Chapman Electric Supply, Inc.
1500 Westfiel d Road
Noblesville, IN 46062
SHIP
TO
Carmel Fire Department
2 Carmel Civic Square
Carmel, IN 46032
(317) 5792622
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
`v
- ,_.
QUANTITY UNITjOF MEASURE'',
DESCRIPTION
UNIT PRICE
EXTENSION
Account 102 -501.00
7 Each LED-803Q-E57
57 Each LED- 7304.42K
152 Each LED - 8115- 00- UL- 4 -CW-N
72 Each LED - 6118- 00UL- 4 -DL -N
8 Each EIKOLEDP- 18T8FU8 /4
Send Invoice To:
Carmel Fire Department
2 Carmel Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$61.25
$23.75
$17,50
$17.50
$33.75
Sub Total:
$428.75
$1,353.75
$2,835.00
$1,260.00
$270.00
$8,147.50
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Cannel Fire Department
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 24696
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT t6.147.50
• 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 T HE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CER/IFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.