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City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103053
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,/VP
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 373315 Launder Turn Out Gear&Certification Fee
CIRCLE CITY CLEANERS ONE LLC Carmel Fire Department
VENDOR 602 N CAPITOL AVE SHIP 2 Civic Square
SUITE 100 TO Carmel, IN 46032-
INDIANAPOLIS, IN 46204-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
- - - - - - - - -- . -- -
38698
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-506.00
1 Each CFD Portion of 1851 Certification $3,750.00 $3,750.00
1 Each Launder Turn Out Gear $6,250.00 $6,250.00
1 Each Not to Exceed$10,000 $0.00 $0.00
Sub Total $10,000.00
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Send Invoice To: 6 ,, ; .- t
Carmel Fire Department
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2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT l AMOUNT
PAYMENT $10,000.00
SHIPPING INSTRUCTIONS "ASP 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 "-N----- __+ +" 1u._4U
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 '
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �(w
Denise Snyder James Crider
TITLE Accreditation Budget Administrator Administration
CONTROL NO. 1 03053 CLERK-TREASURER f"XI�