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City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102106
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
11/14/2018 372926
MILLENNIUM ENTERPRISES INC Fire Department
VENDOR PO BOX 683186 SHIP 2 Civic Square
TO Carmel, IN 46032-
MARIETTA,GA 30068—
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30983
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-560.03
6 Each First Wash Firefighter Shower System $695.00 $4,170.00
50 Each First Wash HazMat Bunker Bags $92.65 $4,632.50
6 Each First Wash Mounting Bracket $0.00 $0.00
1 Each Shipping Charge $473.00 $473.00
Sub Total $9,275.50
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Send Invoice To:
Fire Department
2 Civic Square x.
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Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT e ACCOUNT I PROJECT ! PROJECT ACCOUNT 1 AMOUNT
PAYMENT $9,275.50
SHIPPING INSTRUCTIONS *MP 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 w r- !' /
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 "' " '"=` "' `-49 C.
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. \�
Denise Snyder James Crider J
TITLE Budget&Accreditation Manager Administration
CONTROL NO. 102106 CLERK-TREASURER