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CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101273
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL=1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO: VENDOR NO. . . DESCRIPTION ...
1/10/2018 358990 Webbing
MUNICIPAL EMERGENCY SERVICES Fire Department
VENDOR 75 REMITTANCE:DRIVE SHIP 2 Civic Square _
SUITE 3135... : : TO. Carmel, IN 46032-
CHICAGO, IL 60675-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22532 .
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 1120 Fund 101 General Fund
Account:-43-560.03
3100 Each 1"Orange Tubular Webbing $0.38 : $1,178.00
1 .Each Shipping $22.00 $22.00
Sub Total $1,200.00
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Send Invoice To: _ # � :
Fire Department
2 Civic Square 6 ':
Carmel, IN 46032-
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P _EASE INVOICE IN' DUPLICATE
DEPARTMENT ACCOUNT: I PROJECT PROJECT ACCOUNT AMOUNT.
PAYMENT . . $1,200.00
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.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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder
TITLE Budget&Accreditation.Manager an g r
CONTROL NO. .101273 CLERK-TREASURER