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Chi of Carmel
CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 24703
ONE CIVIC SQUARE 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
3124120115
Gear Wash Carmel Fire Department
VENDOR SHIP
To 2 Carmel Civic Square
657 South 72nd Street Carmel, IN 46032
Milwaukee. WI 53214 (3171 571 22
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNBT OFNEASURE'\ DESCRIPTION UNIT PRICE EXTENSION
Account 43-56.00
1 Each Repairs of Turn Out Gear $4,500.00 $4,500.00
Sub Total: $4,500.00
°
1$
Send Invoice To:
G
Carmel Fire Department
2 Cannel Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
Camel Fire Department
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS/-44.6.moo
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE- R v�_ �✓
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT_THERETO.
2 4 7 0 3 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFiCE COPY