HomeMy WebLinkAbout100959 SENTRY AIR SYSTEMS, INC. iC2nriirlel
INDIANA RETAIL TAX EXEMPT Page 1 of 1
� o f CERTIFICATE NO.003120155 0020 PURCHASE ORDERNUMBER
FEDERAL EXCISE TAX EXEMPT 100959
I ONE CIVIC SQUARE 1 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 I VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
IPURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
i 11/20/2017 372071
SENTRY AIR SYSTEMS, INC. Cannel Police Department
VENDOR 21221 FM 529 RD SHIP 3 Civic Square
TO Carmel,IN 46032-
CYPRESS,TX 77433- Blaine Mallaber
PURCHASE ID BLANKET , CONTRACT PAYMENT TERMS FREIGHT
20870 '
QUANTITY UNIT OF MEASURE } DESCRIPTION UNIT PRICE I EXTENSION I
Department: 1110 Fund: 101 General Fund
Account: 42-390.12
1 Each Ductless Fume Hood $4,142.00 $4,142.00
Sub Total $4,142.00
Send Invoice To:
Carmel Police Department QUOTE 99-80826
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT F PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $4,142.00
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 la) \\
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ------• --- -- - - iv
Jim Barlow
TITLE Chief 4'
CONTROL NO. 100959 CLERK-TREASURER