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1III1.it of car]nnlel CERTIFICATENO.0031201550020 PURCHASE ORDER NUMBER
1 FEDERAL EXCISE TAX EXEMPT 1 00806
j 35-6000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
i 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 371990 Honor Guard Uniforms
J. HIGGINS, LTD Fire Department
VENDOR 10559 LACKMAN ROAD SHIP 2 Civic Square
TO Carmel, IN 46032-
LENEXA, KS 66219- .
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
19844
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-560.01
2 Each A-BECA102B-102 Crossbelt(Black/Gold) $95.00 $190.00
1 Each A-BECRDI BK-102 Drummer Crossbelt(Black/Gold) $95.00 $95.00
10 Each A-BETHBK40-Waist Belt(Thistle Buckle) $50.00 $500.00
10 Each A-BU102G-Buckle(102 Gold) $0.00 $0.00
10 Each A-INVBKLB-Bandspec Cape(Black) L $75.00 $750.00
1 Each A-PP Piper's Plaid(4 yards in Tartan Below) $350.00 $350.00
1 Each Discount-5% ($297.25) ($297.25)
10 Each F-HTDRDBKL-Diced Hose Tops(Red/Black) $45.00 $450.00
3 Each J-3H&L(50+)Doublet(Hook&Ladder FF) $420.00 $1,260.00
5 Each J-3H&L Doublet(Hook&Ladder FF) $375.00 $1,875.00
1 Each K-168SHAML Kilt(Shaw MOD) $475.00 $475.00
1 Each Shipping $112.96 $112.96
4 Each Y-16SHAML Tartan(Shaw MOD) $0.00 $0.00
Sub Total $5,760.71
Send Invoice To
Fire Department
2 Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $5,760.71
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
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 (....::-(41 �
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY - -
Denise Snyder James Crider `/\\```
TITLE Budget&Accreditation Manager Administration `p
CONTROL NO. 100806 CLERK-TREASURER