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City of Carme CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102657
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,ASP
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
2/18/2019 097251
FISHER SCIENTIFIC Carmel Police Department
VENDOR ACCT 440371-001 SHIP 3 Civic Square,
13551 COLLECTIONS CENTER DRIVE TO Carmel, IN 46032-
CHICAGO, IL 60693 - Blaine Mallaber
PURCHASE ID I BLANKET CONTRACT PAYMENT TERMS FREIGHT
33930
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-390.99
1 Each 14-955-411 6mI glass culture tubes $107.70 $107.70
Sub Total $107.70
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Carmel Police Department .
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3 Civic Square i s >
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Carmel, IN 46032-
_ PLEASE INVOICE IN DUPLICATE
1 DEPARTMENT I ACCOUNT I PROJECT 1 PROJECT ACCOUNT AMOUNT
PAYMENT $107.70
'AP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.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
Jim Barlow
TITLE Chief ��
CONTROL NO. 102657 CLERK-TREASURER