HomeMy WebLinkAbout102508 CARDIAC SCIENCE CORP INDIANA RETAIL TAX EXEMPT Page 1 of 1
LII.City ®f CIa]rIT1r1e1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102508
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
1/8/2019 361537
CARDIAC SCIENCE CORP General Administration
VENDOR PO BOX 776401 SHIP 1 Civic Square
TO Carmel, IN 46032-
CHICAGO, IL 60677--6401
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32799
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1205 Fund: 101' General Fund
Account: 43-500.00
1 Each Equipment Repairs and Maintenance $329.00 $329.00
Sub Total $329.00
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Send Invoice To:
Dept of Administration
1 Civic Square
Carmel, IN 46032- ,"
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $329.00
SHIPPING INSTRUCTIONS 'NP 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
James Crider
TITLE Administration �\
CONTROL NO. 102508 CLERK-TREASURER