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City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102108
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
11/14/2018 372927 Firehose
TACTICAL FIRE EQUIPMENT LLC Fire Department
VENDOR 121 W 1ST STREET#675 SHIP 2 Civic Square
TO Carmel, IN 46032-
CASPER,WY 82601 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30987
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.99
64 Each Combined Total Cost $198.50 $12,704.00
64 Each 12517050ATC KrakenExo(Diameter 1 3/4"/44 mm, Length 50'/15.2M,Color $0.00 $0.00
Clear)
1 Each Quote#09415 $0.00 $0.00
64 Each 5128NH34RAGW Wayout Arrow Gold Anodized Alum Coupling 1 3/4 x 1 1/2 x 2 $0.00 $0.00
O 1/8NHR/LSet
Sub Total $12,704.00
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Send Invoice To:
Fire Department
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2 Civic Square1‘.:;':..-b, "j
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Carmel, IN 46032- ,,w ., '� a
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT 1 PROJECT ACCOUNT 1 AMOUNT
PAYMENT $12,704.00
'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
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 .
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ,...:1>,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider X\r3 \
TITLE Budget&Accreditation Manager Administration
CONTROL NO. 102108 CLERK-TREASURER