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ETAIL TAX
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o - CarmelI CERTTIIFICA TE NO.00 01550 02 0 PURCHASE ORDER'NUMBER 1
,City 1
FEDERAL EXCISE TAX EXEMPT 100479
ONE CIVIC SQUARE 35-6000972 THIS 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
5/30/2017 00350758 Wire Partiion for EMS Supplies
MEYER METERIAL HANDLING PRODUCTS Fire Department
VENDOR PO BOX 47366 SHIP 2 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46247-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
15725 1 j
–4
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.06
1 Each Shipping $245.00 $245.00
1 Each Wire Partitions for EMS Supplies $3,292.00 $3,292.00
Sub Total $3,537.00
Send Invoice To:
Fire Department
2 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
i DEPARTMENT ACCOUNT _L PROJECT t PROJECT ACCOUNT AMOUNT
PAYMENT $3,537.00
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. 100479 CLERK-TREASURER