HomeMy WebLinkAbout24741 On-Ramp IndianaCi
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 NIJMBER
24741
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE,
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
10192015
-
�--'•. a . �-�
VENDOR
On -Ramp Indiana
859 Conner Street
Noblesville, IN 46060
SHIP
TO
Carmel Fire Department
2 Carmel Civic Square
Cannel, IN 46032
(317) 5712622
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY UN ITOF MEASURE,
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43-501.00
1 Each UAP-AC-USUAP AC UniFi AP
1 Each UAP-
1
AP 1 Each Shipping
Send Invoice To:
Carmel Fire Department
2 Cannel Civic Square
Carmel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
$340.00
5535.00
$20.00
Sub Total:
$340.00
$535.00
$20.00
$895.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Carmel 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.
24741
DOCUMENT CONTROL NO.
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PC-�
O. L
NUMBER IS MADE A 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
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY
TITLE
CLERK -TREASURER
OFFICE COPY