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Iit ' ®f Carmel CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100643
ONE CIVIC SQUARE L 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
CARMEL, INDIANA 46032-2584 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
8/10/2017 354912 Furniture for EOC
R J E BUSINESS INTERIORS Fire Department
VENDOR 621 E OHIO ST SHIP 2 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46202-
-
PURCHASE ID BLANKET I CONTRACT PAYMENT TERMS FREIGHT
18049
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-630.00
1 Each Furniture for EOC-QUOTE#07.13.17#7677 $18,515.01 $18,515.01
1 Each Install $2,037.16 $2,037.16
1 Each Shipping $1,033.26 $1,033.26
Sub Total $21,585.43
Send Invoice To:
Fire Department
2 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $21,585.43
'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS 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 - r,
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 _
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY - —
Denise Snyder James Crider
TITLE Budget&Accreditation Manager Administration
CONTROL NO. 100643 CLERK-TREASURER --