HomeMy WebLinkAbout100784 GRAND APPLIANCE AND TV INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of III1arinnie1rCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100784
ONE CIVIC SQUARE
1 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
10/1112017 371994 TV's
GRAND APPLIANCE AND TV Fire Department
VENDOR 3300 16TH STREET SHIP 2 Civic Square
TO Carmel,IN 46032-
ZION,IL 60099-
PURCHASE ID 1 BLANKET 'I CONTRACT T PAYMENT TERMS FREIGHT
19716
f- QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
i -
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.99
3 Each 43LF5900 LG TV $284.00 $852.00
1 Each 55UJ6300 LG TV $585.00 $585.00
1 Each 65UJ6300 LG TV $882.00 $882.00
1 Each HDMI6M Cable $50.00 $50.00
1 Each Shipping $19.00 $19.00
1 Each SMCSART2L-Articulating Wall Mount $274.00 $274.00
Sub Total $2,662.00
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
INVOICE IN DUPLICATE
1 DEPARTMENT a —17
ACCOUNTPLEASE PROJECT 1 PROJECT ACCOUNT AMOUNT
PAYMENT $2,662.00
*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
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 V
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder
TITLE Budget&Accreditation Manager
CONTROL NO. 100784 CLERK-TREASURER