HomeMy WebLinkAbout102600 CARDIAC SCIENCE CORP o INDIANA RETAIL TAX EXEMPT Page 1 of 1
iiit ®f IIiriririie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102600
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION (.\\ n
2/5/2019 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
33587
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1205 ' Fund: 101 General Fund
Account: 42-380.00
1 Each Small tools and Minor Equipment $950.00 $950.00
Sub Total $950.00
y Q y 4 �
dye"4,,A,, 4. fir,. ..am.„:A 'a'
1i/ ,, .'S
_f - §
mot, w. 1 t
1 ; * . „1
qy
1k
Send Invoice To: .g ' &` Y . '
Dept of Administration id ,r
1 Civic Square N. F' ''
Carmel, IN 46032 ` �:,1 - t`
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT 1 PROJECT ACCOUNT AMOUNT
PAYMENT $950.00
SHIPPING INSTRUCTIONS PART
A/P 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 LABE �_t�L— -
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 �
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
James Crider
TITLE Administration
CONTROL NO. 1-02600 CLERK-TREASURER -