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Chit ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103017
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,?VP
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
7/19/2019 373440
i STUDIO 15 Carmel Fire Department
VENDOR 485 SOUTHPOINT CIRCLE SHIP 2 Civic Square
SUITE 900 TO Carmel, IN 46032-
BROWNSBURG, IN 46112-
PURCHASE ID 1 BLANKET I CONTRACT PAYMENT TERMS FREIGHT
38165
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-509.00
1 Each Per Estimate#2 $0.00 $0.00
1 Each Rebuild Panels $245.00 $245.00
1 Each Update Panels $220.00 $220.00
Sub Total $465.00
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Send Invoice To:
Carmel Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT d ACCOUNT i PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $465.00
SHIPPING INSTRUCTIONS 'AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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 _------..„ V*--,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY -
Denise Snyder
TITLE Accreditation Budget Administrator A CONTROL NO. 103017 CLERK-TREASURER