HomeMy WebLinkAbout103181 MUNICIPAL EMERGENCY SERVICES IitT INDIANA RETAIL TAX EXEMPT Page 1 of 1
of IIar]r1nie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103181
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
10/25/2019 358990 Recruit Mask&Regulators
MUNICIPAL EMERGENCY SERVICES Carmel 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
40951
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-560.03
10 Each 200077-50 Reg Asy 2013 QD $1,426.83 $14,268.30
10 Each 201215-28 Scott NEW AV3000HT 4 Point Kevlar Rt Brkt-Medium $291.41 $2,914.10
Sub Total $17,182.40
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Send Invoice To: �... «..a. �'
Carmel Fire Department
,
2 Civic Square Pg
Carmel, IN 46032-
PLEASE
INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $17,182.40
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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider ipw'
TITLE Accreditation Budget Administrator Administration
CONTROL NO. 103181 CLERK-TREASURER