HomeMy WebLinkAbout103022 CARDIAC SCIENCE CORP rINDIANA RETAIL TAX EXEMPT Page 1 of 1
Iit" of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103022
1 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
ISHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
I
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/22/2019 361537
I.-
CARDIAC SCIENCE CORP Carmel Police Department
VENDOR PO BOX 776401 SHIP 3 Civic Square
TO Carmel, IN 46032-
CHICAGO, IL 60677--6401 Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
! 38240
! QUANTITY 1 UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-390.12
5 Each 9131-001 adult defribrillation pads $40.80 $204.00
1 Each 9146-302 AED replacement battery-yellow GS 9300 $318.40 $318.40
Sub Total $522.40
/ M
,t v ,
4 4, .1. i €
Send Invoice To: '. _ : m. ��.p ,.,,„ �
Carmel Police Department i
/,,
Accounts Payable • /
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $522.40
SHIPPING INSTRUCTIONS *ANP 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
'SFIIP 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 ' v
i %CONTROL NO. 1 03022 CLERK-TREASURER