HomeMy WebLinkAbout100987 DONLEY SAFETY INDIANA RETAIL TAX EXEMPTPage 1 of 1Cityof IIIairrrie1 -
CERTIFICATE NO.003120155 002 0 PURCHASE OORDE�RN UMBER
FEDERAL EXCISE TAX EXEMPT i 781
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELSANDANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/29/2017 079150 Helmets-Recruits
DONLEY SAFETY Fire Department
VENDOR 5546 ELMWOOD AVE SHIP :2 Civic,Square
TO. Carmel, IN 46032-
INDIANAPOLIS,IN 46203
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21066
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-560.03
5 Each C- 1010 Helmet Carmel. $256.00 . $1,280.00
TRD11221221A00
0
Sub Total $1,280.00
3 ;
Send Invoice To: s
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,280.00
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 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise SnyderV \;,f,
J V
TITLE Budget&Accreditation Manager \�
CONTROL NO. 100987 CLERK-TREASURER