HomeMy WebLinkAbout24766 Ott EquiupmentCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584 '(q
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 - N
PURCHASE ORDER NUMBER
24766
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
12132015
Qa �. �.O ,.iyp� .-.2-a50r
VENDOR
Ott Equipment Service, Inc.
517 Heniman Court
Noblesville, IN 46060
SHIP
TO
Cannel Fire Department
2 Carmel Civic Square
Carmel, IN 46032
(317) 571-2622
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account "' 1,
00
1 Each 'S-
Account 102-670-99
1 Each Champion 7.5HP Air Com
Send Invoice To:
Cannel Fire Department
2 Carmel Civic Square
Carmel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
$2,182.00
Sub Total:
$4,538.00
Sub Total:
$2,182.00
$2,182.00
$4,538.00
$4,538.00
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.
24766
DOCUMENT CONTROL NO.
PAYMENT $6.720.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT/HERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION,SUMFFt IENT TO PAY F0 THE ABOVE ORDER.
ORDERED BY
TITLE
CLERK -TREASURER
OFFICE COPY ;