HomeMy WebLinkAbout100590 CARDIAC SCIENCE CORP INDIANARETAIL TAX EXEMPT Page 1 of 1
kIit)rofCarmelCERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
of
FEDERAL EXCISE TAX EXEMPT 1 00590
ONE CIVIC SQUARE 35-6000972 THS NUMBER MUST APPEAR ON INVOICES,NP
I 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
7120/2017 361537 AED Pads
1 CARDIAC SCIENCE CORP Street Department
VENDOR PO BOX 776401 SHIP 3400 W. 131st Street
TO
1 Carmel, IN 46074-
CHICAGO, IL 60677--6401 (317)733-2001
PURCHASE ID BLANKET I CONTRACT T PAYMENT TERMS I FREIGHT
17341
QUANTITY UNIT OF MEASURE DESCRIPTION 1 UNIT PRICE i EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 42-390.12
1 Each AED Pads $387.00 $387.00
Sub Total $387.00
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
i DEPARTMENT i ACCOUNT 1 PROJECT l— PROJECT ACCOUNT AMOUNT ;
dd PAYMENT $387.00
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 /0e.....,. / a--r-l.
ORDERED BY `"" j "
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. —
Dave Huffman
TITLE Director
CONTROL NO. 100590 CLERK-TREASURER