HomeMy WebLinkAbout24763 Hoosier Pennof 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
24763
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
12192015
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VENDOR
Hoosier Penn Oil
Dept. 19
PO Box 6069
Indianapolis, IN 46206
SHIP
TO
Cannel Fire Department
2 Carmel Civic Square
Carmel, IN 46032
(317) 571-2671
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
U ME
RE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 102-670.
1 Each Self Evac. Waste Oil Drain
2 Each Quart Stroke Drum Pump
2 Each 2 Drum Spill Containment Pallet
4 Each Reelcraft Water Reel
Send Invoice To:
Cannel Fire Department
2 Cannel Civic Square
Carmel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
$449.80
$147.19
$280.00
$198.44
Sub Total:
$449.80
$294.38
$560.00
$785.76
$2,089.94
DEPARTMENT
ACCOUNT
. PROJECT
PROJECT ACCOUNT
AMOUNT
Cannel Fire Department
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• COD. 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.
24763
DOCUMENT CONTROL NO.
ORDERED BY
PAYMENT waL
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THP
p 9.94
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.
CLERK -TREASURER
VENDOR COPY
l� a
December 7, 2015
Jason Force
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
4060 W 10th Street • Indianapolis, Indiana 46222
Phone: 317-390-5406.1-800-622-4795
2990 Industrial Parkway • Jeffersonville, Indiana 47130
Phone: 812-284-9433.1-800-548-8610
3702 Progress Drive • South Bend, Indiana 46628
Phone: 574-234-2171.1-800-522-2122
HOOSIER PENN OIL COMPANY
QUOTATION
We are pleased to offer you the following pricing:
(QUANTITY DISCRIPTION PRICE
2
2
4
2 Drum Spill Containment Pallet $280.00 ea.
Quart Stroke Drum Pump $147.19 ea.
Self Evac. Waste Oil Drain $449.80 ea.
Reelcraft Water Reel $196.44 ea.
Total $2089.94
TERMS: NET 30 FROM DATE OF INVOICE PRICES INCLUDE DELIVERY UNLESS OTHERWISE NOTED
Thank you for the opportunity to quote these products.
Sincerely,
Jeffrey N. Garretson
Territory Manager
Central Indiana