HomeMy WebLinkAbout102767 HOOSIER FIRE EQUIPMENT City of Carmel INDIANA RETAIL TAX EXEMPT Page 1 of 1
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102767
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
3/29/2019 131135 Amkus ION Sets
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
35029
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.99
1 Each AMK-30RM 30"Push-Pull Ram with Mono Couplings $2,620.00 $2,620.00
1 Each KS0029-KIT Extended Reach Tips for Spreader $930.00 $930.00
2 Each IS2807L ION Battery Operated 28"Spreader with Gator Tips $11,615.00 $23,230.00
2 Each IC550 ION.Battery.Operated Cutter $9,490.00 $18,980.00
3 Each ICHRG120-4 ION FlexVolt Charger, 120v,4-Bay $599.00 $1,797.00
1 Each KHC007-KIT Mono Coupler Cover Kit, Black $0.00 $0.00
1 Each KHC-013-KIT Mono.Coupling Set, Male $270.00 $270.00
1 Each K-Chain,24-30 Quick Adjust Chain Package $850.00 $850.00
1 Each Special Package Price ($4,600.00) ($4,600.00)
Sub Total $44,077.00
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Send Invoice To:
Fire Department
2 Civic Square $ °i t - "
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $44,077.00
SHIPPING INSTRUCTIONS 'ASP 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 "-- -----.3 A' /�' ��{-e' -v CIL:ciei
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider
TITLE Accreditation Budget Administrator Administration
CONTROL NO. 102767 CLERK-TREASURER