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INDIANA RETAIL TAX EXEMPT Page 1 of 1
�( }� of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
�/Jl FEDERAL EXCISE TAX EXEMPT 103055
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
8/7/2019 369217 Advanced Cleaning/Inspection/Repair Gear
GEAR WASH Carmel Fire Department
VENDOR 657 SOUTH 72ND STREET SHIP 2 Civic.Square
TO Carmel, IN 46032-
MILWAUKEE,WI 53214-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
38700
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-506.00
1 Each Advanced Cleaning/Inspection/Repair of Turn Out Gear $5,000.00 $5,000.00
1 Each Not to Exceed$5,000.00 $0.00 $0.00
Sub Total $5,000.00
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Send Invoice To:
Carmel Fire Department
2 Civic Square may x
Carmel, IN 46032= e-A
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $5,000.00
SHIPPING INSTRUCTIONS NP 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 v
Denise Snyder
TITLE Accreditation Budget Administrator
CONTROL NO. 1 03055 CLERK-TREASURER