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CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 101067
ONE CIVIC SQUARE 35-6000972 THIS MBER MAMP ON INVOICES,AIP
CARMEL, INDIANA 46032-2584 VOUCHENUR,ED RE MEMOPP ,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
12/12/2017 368839 Maintnance Truck
AMERICAN EAGLE EQUIPMENTFire Department
VENDOR 16100 ALLISONVILLE ROAD SHIP 2 Civic Square
TO:. Carmel, IN 46032-
NOBLESVILLE,IN 46060-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21624
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.99
1 Each Lighting for New Staff Vehicles $0.00 $0.00
1 Each Quote 5551 $1,769.70 $1,769.70
Sub Total $1,769.70
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Send Invoice To:
Fire Department s
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT
IN PROJECT ACCOUNT I AMOUNT
PAYMENT $1,769.70
SHIPPING INSTRUCTIONS *NPVOUCHER 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
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Denise a
TITLE Budget&Accreditanontion Manager
CONTROL NO. 101067 CLERK-TREASURER