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CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
�/Jl FEDERAL EXCISE TAX EXEMPT 103061
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
8/8/2019 358990 HM Suits
MUNICIPAL EMERGENCY SERVICES Fire Department
VENDOR 75 REMITTANCE DRIVE SHIP 2 Civic Square
SUITE 3135 TO Carmel, IN 46032-
CHICAGO, IL 60675-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
38757
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance.Capital Fund
Account: 44-670:04
1 Each RC128T/2XL 2XL Liberty Glove Tychem Responder CSM Coverall $389.00 $389.00
1 Each.RC138T/3XL 3XL Liberty Glove Tychem Responder CSM Coverall $412.34 $412.34
1 Each Shipping $30.00 $30.00
1 Each RC128T/XL XL Liberty Glove Tychem Responder CSM Coverall $366.96 $366.96
Sub Total $1,198.30
Send Invoice To: ,i," t- .a
Fire Department r
2 Civic Square ;i �„
A :
Carmel, IN 46032- ,,, k
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT S PROJECT ACCOUNT AMOUNT
PAYMENT $1,198.30
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
_\------,. r_
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder %1\41101kTITLE Accreditation Budget AdministratorCONTROL NO. 103061 CLERK-TREASURER