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CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100642 _I
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
1 SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
1
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8/10/2017 358990 Gated Wyes
1 MUNICIPAL EMERGENCY SERVICES Fire Department
VENDOR 75 REMITTANCE DRIVE SHIP 2 Civic Square
SUITE 3135 TO Carmel, IN 46032-
CHICAGO, IL 60675-
I PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
•
1 18048
QUANTITY UNIT OF MEASUREL DESCRIPTION UNIT PRICE I EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.99
7 Each TFT Gated 2.5" Female x 2 2.5" Male-FREE SHIPPING $855.00 $5,985.00
Sub Total $5,985.00
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT IPROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $5,985.00
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 /f 7 - r�
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �c.44.--f7 ,'GZ
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY y
Denise Snyder James Crider
TITLE Budget&Accreditation Manager Administration
CONTROL NO. 100642 CLERK-TREASURER