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CarmeINDIANA RETAIL TAX EXEMPTPage 1 of 1
1(/\�/' of CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101034
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 372114 Mobile Eyes Software-Implementation-Training
TRADEMASTER,INC. Fire Department
VENDOR P.O.BOX 3395 SHIP. 2 Civic Square
TO Carmel, IN 46032-
PEACHTREE CITY,GA 30269-
PURCHASE ID BLANKET CONTRACT - PAYMENT TERMS FREIGHT
21420
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: Fund:
Account:
Each
Sub Total
Department: 1120 Fund: 101 General Fund
Account: 43-570.03
1 Each Instructor Travel for Mobile Eyes $825.00 $825.00
Sub Total $825.00
Account: 43-570,04 , .
1 Each Training Fee for Mobile Eyes $2,197.00 $2,197.00
Sub Total $2,197.00
Department: 1120 Fund: 102 Ambulance.Capital Fund a,
Account: 44.632.02 :,
1 Each Mob1 Each ile E esAccount t.Res fonder � $1,599.00 $1,599.00
P .
y p $3,289.00' $3,289.00
1 Each Mobile Eyes Software and Licensing
Y $8,566.00 $8,566.00
Sub Total $13,454.00
Send Invoice To , }
Fire Department
2 Civic Square
Carmel,IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $16,476.00
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 �f
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 " ' �c c. {!
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY .
Denise Snyder James Crider \\\
TITLE Budget&Accreditation Manager Administration ,
CONTROL NO. 101034 CLERK-TREASURER