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
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Send Invoice To: ,�. . . --
Fire Department
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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 �\