HomeMy WebLinkAbout101128 D & S CUSTOM COVERS a INDIANA RETAIL TAX EXEMPT Page 1 of I
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
armel
FEDERAL EXCISE TAX EXEMPT O 2$
ONE CIVIC SQcity UARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
of C
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELSANDANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12114/2017 365281 Hose Bed Cover
D&S CUSTOM COVERS Fire Department
VENDOR 3055.KINGWOOD:ROAD SHIP:: 2 CivicSquare
TO Carmel,.IN 46032
ROCKWOOD PA 15557-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21787
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE
:=: EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-510.00
I Each Hose Bed Cover: .
$706,31 $706.31
Sub Total $706.31
,
Send Invoice.To: .: __
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT A AMOUNT
PAYMENT $706.31
SHIPPING INSTRUCTIONS *AIR 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.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 t` �`
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. \\
Denise Snyder \
TITLE Budget&Accreditation Manager
CONTROL NO. O 1 128 CLERK-TREASURER