HomeMy WebLinkAbout24764 Hoosier Fire EquipmentCi
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
74744
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
121102015
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Qs.,-��"� 'kms Q�
VENDOR
Hoosier Fire Equipment
4009 Montdale Park Drive
Valparaiso, IN 46383
SHIP
TO
\N
Carmel Fire Department
2 Carmel Civic Square
Carmel, IN 46032
(3171571-2R7J
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
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QUANTITY
UNIT OF MEASURE,
DESCRIPTION
UNIT PRICE
EXTENSION
Account 102-670.99
1 Each Amkus Equipment Per Attached Quote
Send Invoice To:
Carmel Fire Department
2 Carmel Civic Square
Cannel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
$34,107.80
Sub Total:
$34,107.80
$34,107.80
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. 2476
476 4
ORDERED BY
TITLE
CLERK -TREASURER
OFFICE COPY
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESSRHE,P.U'/ -BO
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
HEREBY CERTIF[[Y7THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI e, F,F.ICIENT TO PAY FOR 4HE ABOVE ORDER.