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I1t)Tof Carmel __.
CERTIFICATE N0.0031201550020 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 1 00807
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
10/16/2017 371689 J
RESCUEGEAR, INC. Fire Department
VENDOR 5909 BURNET ROAD SHIP 2 Civic Square
TO Carmel, IN 46032-
AUSTIN,TX 78757-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
19845
L QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.02
2 Each 3/8"Replacement Rope for Throw Bags-Sterling 600'Spool $263.44 $526.88
2 Each Ice Commander Suit Gold $779.95 $1,559.90
2 Each Mustang PFD,Shore Based $60.00 $120.00
23 Each NRS Utility Glove $26.56 $610.88
6 Each NRS Workbook Wetshoe $47.97 $287.82
1 Each PFD,SAR Mesh XXL $122.55 $122.55
1 Each Quote Q14425 $0.00 $0.00
1 Each Rope Cutter $134.00 $134.00
1 Each Shipping $65.00 $65.00
Sub Total $3,427.03
SCANNED
OCT 162017
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $3,427.03
SHIPPING INSTRUCTIONS *A/P 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY — ----
Denise Snyder
TITLE Budget&Accreditation Manager
CONTROL NO. 100807 CLERK-TREASURER