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City INDIANA RETAIL TAX EXEMPT Page 1 of 1
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CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 1 02972
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A!P
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVRY 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
Detector and Equipment
6/26/2019 373407 1
THERMO EBERLINE LLC Fire Department
VENDOR 27 FORGE PARKWAY SHIP 2 Civic Square
TO Carmel, IN 46032
FRANKLIN, MA 02038-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
37414
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund i
Account: 44-670.04
1 Each 425067046 Holster for Radeye PRD $42.00 $42.00
1 Each 4250817 Radeye SPRD $2,63*0 $2,630.00
1 Each Shipping I $12.00 $12.00
1 Each 425069120 Single Vehicle Charger $424.00 $424.00
Sub Total $3,108.00
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Send Invoice To: . ,,..'..,?. , .x._ -,-_
Fire Department
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2 Civic Square t' ,;y u
Carmel, IN 46032- ; , g
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT 1 $3,108.00
SHIPPING INSTRUCTIONS 'AIP 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder
TITLE Accreditation Budget Administrator
CONTROL NO. 102972 CLERK-TREASURER