HomeMy WebLinkAbout102550 HOOSIER FIRE EQUIPMENT INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ®f Iariinie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102550
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AJP
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
1/18/2019 131135 Water Extinguishers
HOOSIER FIRE EQUIPMENT INC Fire Department
VENDOR 4009 MONTDALE PARK DRIVE SHIP 2 Civic Square
TO Carmel, IN 46032-
VALPARAISO, IN 46383-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
33108
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 42-390.99
6 Each AX240 Amerex 2.5 Gallon Water Extinguisher $109.00 $654.00
Sub Total $654.00
SCANNED
1 a 2019
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Send Invoice To: �.,�.` Tr,
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Fire Department
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2 Civic Square ' !
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT f ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $654.00
SHIPPING INSTRUCTIONS 'NPVOUCHER 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 --N"------,
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder
TITLE Budget&Accreditation Manager �1\\ \.
CONTROL NO. 1 02550 CLERK-TREASURER