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®- Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 00468
ONE CIVIC SQUARE 35-6000972 THS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO.PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/24/2017 371689 Inflatable Boat
RESCUE GEAR Fire Department
VENDOR 5909 BURNET ROAD SHIP 2 Civic Square
TO Carmel, IN 46032-
; AUSTIN,TX 78757-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
15668
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.02
1 Each INMAR 430-SR-L 14'Search and Rescue Inflatable $2,846.15 $2,846.15
1 Each Quick Fill Kit SCBA $180.45 $180.45
1 Each Scupper Valves installed on INMAR Boat $180.45 $180.45
1 Each Shipping $375.00 $375.00
Sub Total $3,582.05
Send Invoice To:
Fire Department
2 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ; ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $3,582.05
SHIPPING INSTRUCTIONS *NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder . \
TITLE Budget&Accreditation Manager �\
CONTROL NO. 100468 CLERK-TREASURER