HomeMy WebLinkAbout24767 Ott 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
t FEDERAL EXCISE TAX EXEMPT
35-60000972
PAGE
PURCHASE ORDER NUMBER
24767
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
121312715
\COONNTRACT
�� `-Q___ �.�1
VENDOR
Ott Equipment Service, Inc.
617Heniman Court
Noblesville, IN 46060
SHIP
TO
Carmel Fire Department
2 Carmel Civic Square
Carmel, IN 46032
(317) 571-2622
CONFIRMATION
BLANKET
PAYMENT TERMS _
FREIGHT
\COONNTRACT
QUANTITY
UNIT OF MEASURE.
DESCRIPTION
UNIT PRICE
EXTENSION
Account TQ'W Fes++
1 Each Labor to Install Lift
•A»
Account 102-670.99
1 Each Rotary 12K 2 post surface
Send Invoice To:
Carmel Fire Department
2 Cannel Civic Square
Carmel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
$938.00
Sub Total:
$5,885.00
Sub Total:
$938.00
$938.00
$5,885.00
$5,885.00
DEPARTMENT
Carmel Fire Department
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
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.
24767
DOCUMENT CONTROL NO.
ORDERED BY
TITLE
CLERK -TREASURER
OFFICE COPY
PAYMENT $662100
• ANP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER I5 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY TN, THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIOp SUFFICIENT TO PAY FOR THE ABOVE ORDER.