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�I of Carmel CERTIFICATE NO0032015 002 0 PURCHASE ORDER1NUMBER
/JL FEDERAL EXCISE TAX EXEMPT 103159
ty ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
10/15/2019 373648 Parts
ESSCO CORPORATION Carmel Fire Department
VENDOR 1445 BROOKVILLE WAY SHIP 2 Civic Square
SUITE J TO Carmel, IN 46032-
INDIANAPOLIS, IN 46239-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
40631
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 42-370.00
1 Each AFPRE1616P 16"x 16"-Pre-Filter Pad $20.80 $20.80
1 Each AFCPL16162 16"x16"x2"Carbon Pleated Filter $120.00 $120.00
3 Each BARA65OR Rapto Red Air Scrubber $590.00 $1,770.00
3 Each BAAS10 Raptor Air Filter $128.00 $384.00
Sub Total $2,294.80
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Send Invoice To: $
Carmel Fire Department '
2 Civic Square ;::::,
Carmel, IN 46032-
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 9 PROJECT 1 PROJECT ACCOUNT AMOUNT
PAYMENT $2,294.80
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 \0:'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ------\__'-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BYNo)\v
Denise Snyder ��
TITLE Accreditation Budget Administrator v(
CONTROL NO. 103159 CLERK-TREASURER