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Cityof IIIarrriie1 i CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBERFEDERAL EXCISE TAX EXEMPT 100682
ONE CIVIC SQUARE 35-6000972_ THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8/24/2017 371893 Instructor Fee for AFG Grant Classes
DAVID MOORE Fire Department
VENDOR 2735 N RILEY HIGHWAY SHIP 2 Civic Square
TO Cannel,IN 46032-
SHELBYVILLE, IN 46176-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
18413
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-570.03
1 Each Fire Officer 1 $1,375.00 $1,375.00
1 Each Fire Officer II $1,375.00 $1,375.00
1 Each FOST $1,275.00 $1,275.00
1 Each Instructor I $1,375.00 $1,375.00
1 Each ISO $1,375.00 $1,375.00
Sub Total $6,775.00
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 1 _ PROJECT ACCOUNT I AMOUNT 1
PAYMENT $6,775.00
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 s -
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �...4,/ -gi(
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY -
Denise Snyder James Crider V
TITLE Budget&Accreditation Manager Administration
CONTROL NO. 100682 CLERK-TREASURER