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Cit of Cirne1
CERTIFICATE NO.003120155 002 0 PURCHASSEEORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101033
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
12/8/2017 372101 Consultant for Engine Specs
EMERGENCY VEHICLE REPSONSE LLC Fire Department
VENDOR 121 WHITLOCK ROAD SHIP 2 Civic Square
TO Carmel, IN 46032-
OTISVILLE, NY 10963-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21417
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE - EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-404.00
1 Each Consultant for Engine Specs $8,500.00 $8,500.00
Sub Total $8,500.00
xx
Send Invoice.To:
Fire Department
2 Civic Square
�hx -
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT
I AMOUNT
PAYMENT $8,500.00
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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 l\,\
CONTROL NO. 101033 CLERK-TREASURER '\Y\