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101376 HOOSIER FIRE EQUIPMENT INC
• . INDIANA RETAIL TAX EXEMPT Page 1 of 1. its p °® are CERTIFICATE NO.003120155 002 0 . ` PURCHASE ORDER NUMBER. ��\\��++// FEDERAL EXCISE TAX EXEMPT • 1 01 376 ONE CIVIC SQUARE- • •• - 35-6000972 •. . : THIS NUMBER MUST APPEAR ON INVOICES,AP - . 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 • 217/2018 • - 131135 - -. Bullard Batteries HOOSIER FIRE EQUIPMENT INC • • • Fire Department . - VENDOR: 4009 MONTDALE:PARK DRIVE - - ;SHIP 2 Civic Square • T ..Carmel,:IN:46032 .. . .. - VALPARAISO,IN 46383 . PURCHASE ID BLANKET CONTRACT . PAYNENT,TERMS::- :. . :FRE:G. .23235 . . . . ::QUANTITY :: :- : UNIT OF MEASURE :- :: :• : DESCRIPTION: . - UNIT PRICE : EXTENSION ::• Department: 1120 Fund: 191 General Fund . Account. 42-370.00 5 Each: :• : . ECLNIMHB Bullard Batteries :-- - •. . ::-- :- . ,•i: :-:: - $65.00 .• - $325.00 1 Each Shipping :.. : $100.00: . : :$100.00. : . 12 Each : . T3NIMHB Bullard•Battery .•• . : : $129.70 : $1,556.40 - • Sub Total ... .•. $1;981.40 • . • • . ' .* ' ' '- ''': *kt (:)F•e•A-7..-t,:.:•,.. : . :.: ::. _. :. . . . . ... • . .. - _ . } pp m_ F ,i ♦ .. .- . ... . . ... . K . ::. :. : ,. . ..- - . . • ., , --.': . -.i--...''.'.;::::;;;717..!::::7--.•41;31.17:ir 1:-.:':1-:"7-,1;-714 7.-::.-1!...4.'''401,,k:4::‘".•:• ,:'.--.::.;.... " -i. :--.-.--- 1.- , i. :..• .. .. .:;: Send Invoice.To: : : = :'r. !`, ... : Fire Department : . . . • 2:Civic Square. Carmel, IN 46032-. : : . . - - �� ; . . .-. . . PLEASE INVOICE IN DUPLICATE. DEPARTMENT .:. .ACCOUNT:. .. . I.:. :. PROJECT ... .. . ::PROJECT ACCOUNT . AMOUNT. . ::PAYMENT . . • . . $1,881A0 i. ... T•NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A T - - SHIPPING INSTRUCTIONS 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 � s,:...„...... »` am •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ` y AND ACTS AMENDATORY THEREOFAND SUPPLEMENTTHERETO. ORDERED BY. .. .. . Denise Snyder TITLE T. :Budget&Accreditation Manager -:- . . ... . - ... . . ... CONTROL NO. : ' - CLERK-TREASURER