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HomeMy WebLinkAbout102515 STRYKER MEDICAL CityINDIANA RETAIL TAX EXEMPT Page 1 of 1of cIIarinrie1 CERTIFICATE NO.003120155 0020PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 102515 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP 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 11912019 00351580 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 32858 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1120 Fund: 102 Ambulance Capital Fund Account: 44-670.99 1 Each Cot for Amblulance-Power Load $15,300.00 $15,300.00 Sub Total $15,300.00 II a i ,,, i,,1 ,,,,,,,,,,,:,,,,,,,,,;!ttitil.;-,-:,,-,,::::; Vii} 7,::::14,;;;:a,;:,::,,,',''::: ::: Send Invoice To: ,�. . . -- Fire Department „t," / 2 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE PROJECT k PROJECT ACCOUNT AMOUNT DEPARTMENT I ACCOUNT I PAYMENT $15,300.00 SHIPPING INSTRUCTIONS 'A!PARTP VOUCHEROFTHEVOUCHER CANNOT BE APPROVED FOR PAYMENT THE P.O. NUMBER IS MADE A AND EVERY INVOICE AND VOUCHERUNLESS 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 - r� 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Denise Snyder James Crider \ TITLE Budget&Accreditation Manager Administration \ A CONTROL NO. 102515 CLERK-TREASURER �\