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LII .City of Carrne CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102578
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
1/28/2019 00350432 Uniforms
EMBROIDERY PLUS Fire Department
VENDOR 5514 W.WASHINGTON STREET SHIP 2 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46241 - .
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
33322
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund •
Account: 43-560.01
4 Each Job Shirt-XL Reg $60.00 $240.00
6 Each Job Shirt Large Tall $61.00 $366.00
6 Each Job Shirt XL Tall $61.00 $366.00
12 Each Job Shirts $56.00 $672.00
1 Each Shipping $50.00 $50.00
Sub Total $1,694.00
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Send Invoice To: _ ...w. ..
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Fire Department k \ '.
2 Civic Square w
Carmel, IN 46032- -. a
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $1,694.00
•AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE F.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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 �`
Denise Snyder
TITLE Budget&Accreditation Manager r
CONTROL NO. 102578 CLERK-TREASURER