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INDIANA RETAIL TAX EXEMPT Page 1 of 1
it y of Ia]r]nriie1 CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103182
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
10/25/2019 373648 Dehumidifier-Sta.41
ESSCO CORPORATION 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
40953
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund -
Account: 44-670.99
12 Each SSF4029748 Compat 2 Mery 8 Filter $4.90 $58.80
1 Each SF4033600 Santa Fe Compact 2 Dehumidifier $850.00 $850.00
Sub Total $908.80
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Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $908.80
SHIPPING INSTRUCTIONS *A/P 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 -- ` - S �✓
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 '
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder
TITLE Accreditation Budget Administrator
CONTROL NO. 103182 CLERK-TREASURER