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City of IiIir]r1r1Ie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100899
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
11/9/2017 372055 Performance Management System-Sworn
TENZINGA Fire Department
VENDOR 188 FRONT STREET SHIP 2 Civic Square
SUITE 116-107 TO Cannel, IN 46032-
FRANKLIN, IN 37064-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
20581
QUANTI i UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-509.00
1 Each Leadership Development $5,000.00 $5,000.00
Sub Total $5,000.00
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-632.02
155 Each Performance Management System -Sworn Personnel $72.00 $11,160.00
Sub Total $11,160.00
Send Invoice To:
Fire Department
2 Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ! ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $16,160.00
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
'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. 100899 CLERK-TREASURER