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Cit of IIarinriie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101032
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 363609 Misc.Items/Supplies
SYNCB/AMAZON.COM Fire Department
VENDOR :P.O.BOX 530958 SHIP 2 Civic Square
TO Carmel, IN 46032-
ATLANTA,GA 30353-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS . FREIGHT
21408
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 1120 Fund: 101 General Fund
Account: 42-302.00
1 Each Office Supplies $108.70 $108.70
Sub Total $108.70
Account: 42-370.00 ,
1 Each Repair Parts $274.40 $274.40
Sub Total $274.40'
Account: 42-380.00
1 Each Small Tools $160.01 $160.01
Sub Total $160.01
Account: 42-390.20
1 Each Fire Alarm &Clock $183.64 $183.64
Sub Total . , $183.64
Account 42-390.99
1 Each Miscellaneous Supplies , . $135.00 $135.00
` Sub Total $135.00
Account: 43-551.00
1 Each Coffee and Supplies . $174.58 $174.58
Sub Total $174.58
Account 43-570.01
1 Each Extreme Ownership US Navy Seals Book $435.00 $435.00
Send Invoice To: .;-."2-...1,.'_-' ::;..1..;.,,:.-- .-..'.-.;_: ,
Fire Department
2 Civic Square
Co�n�d
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $1,578.33
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 0.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 ""`'._ ` ".. . .ate,.>;,. .- .✓
ORDERED BY \�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Denise Snyder (�/
TITLE Budget&Accreditation Manager . �\
CONTROL NO. 101032 CLERK-TREASURER