HomeMy WebLinkAbout102785 MINICIPAL EMERGENCY SERVICES INDIANA RETAIL TAX EXEMPT Page 1 of 1
c1i.City of Iairirinie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102785
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A!P
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
4/9/2019 358990 Boot Rotation
MUNICIPAL EMERGENCY SERVICES Carmel Fire Department
VENDOR 75 REMITTANCE DRIVE SHIP..2 Civic Square
SUITE 3135 TO Carmel;IN 46032-
CHICAGO, IL 60675
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
35262
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101I General Fund
Account 43-560.03
12 Each Black Diamond X2 $295.00 $3,540.00
5 Each Pro Warrington 4139 $353.33 $1,766.65
3 Each . Pro Warrington 5006 $384.20 $1,152.60
2 Each Pro Warrington 5007 $362.00 $724.00
6 Each Pro Warrington:5555 $362.00 $2,172.00
2 Each Ranger BTR 1000 $220.73 $441.46
12 Each Shipping $6.00, $72.00
Sub Total $9,868.71
3
£: fi
1
$ 3 x 3$$
Send Invoice To: 4
Carmel Fire Department "
2 Civic Square
I;
Carmel, IN 46032- '", ; a--
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT G AMOUNT
PAYMENT $9,868.71
*AIP 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 - ------,_,_J`��_ ✓ `/ `� . _
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 -�.4 �
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider
TITLE Accreditation Budget Administrator Administration
CONTROL NO. 102785 CLERK-TREASURER