HomeMy WebLinkAbout102502 STRYKER MEDICAL o INDIANA RETAIL TAX EXEMPT Page 1 of 1
Iitof 1IIIairirinie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102502
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
1/7/2019 00351580 Power Cot
STRYKER MEDICAL Fire Department
VENDOR PO BOX 93308 SHIP 2 Civic Square
TO Carmel, IN 46032-
CHICAGO, IL 60673 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32747
QUANTITY UNIT OF MEASURE : DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-510.00
1 Each Power Load Cot for New Ambulance $21,998.00 $21,998.00
Sub Total $21,998.00
t4,41,94 d
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
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a`Ec w.
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT J PROJECT ACCOUNT I AMOUNT
YMENT $21,998.00
SHIPPING INSTRUCTIONS *PNAAP 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 `'- e/¢?l (1,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider
TITLE Budget&Accreditation Manager Administratio\`
CONTROL NO. 1025502 CLERK-TREASURER