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I it ®� C�� � CERTIFICATE NO.0031201550020PURCHASE ORDER NUMBER�� �j FEDERAL EXCISE TAX EXEMPT 101066
ONE CIVIC SQUARE 35-6000972 S BR MAPR VOIES,
CARMEL, INDIANA 46032-2584 VOUCHER,ED ELIVERYUST MEMOPEA,PACKINGONINC
SLIPSAIP,
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
12/12/2017 00352817 Equipment for EOC
SPECTRACOM CORP Fire Department
VENDOR 1565 JEFFERSON ROAD SHIP 2 Civic Square
STE 460 TO Carmel,'IN 46032-
ROCHESTER, NY 14623-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21620
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-631.00
1 Each Equipment for EOC Per Attached Quote 17-041256/1 $10,610.00 $10,610.00
Sub Total $10,610.00
Send Invoice To:
r,
Fire Department
2 Civic Square '''' ''''. ':if.'.„1.,': ,,,,,,7,.
Carmel, IN 46032- %
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $10,610.00
SHIPPING INSTRUCTIONS .NPPART VOUCHEROFTHEVOUCHER CANNOT BEAND APPROVEDEVERYINVOICFOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
E 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 �_ � ' ' "�� �-t1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider
TITLE Budget&Accreditation Manager Administration
CONTROL NO. 101066 CLERK-TREASURER \��/`\�