HomeMy WebLinkAbout103247 A F C INTERNATIONAL INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
ciiit37 of CIIaririnie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103247
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,ANP
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
11/15/2019 00353173 HazMat Equipment
A F C INTERNATIONAL INC Fire Department
VENDOR PO BOX 894 SHIP 2 Civic Square
715C SW ALMOND ST TO Carmel,IN 46032-
DEMOTTE, IN 46310-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41562
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance.Capital Fund
Account: 44-632.02
2 Each SO1-2000-000 ProRae Guardian Software License Tier 2 $475.00 $950.00
3 Each SO1-3000-000- ProRae Guardian Software License Tier 3 $950.00 $2,850.00
T31-9
Sub Total $3,800.00
Account:..44-670.04 ". _ •
1 Each F04-A211-100 EchoView Host Mini-Controller $1,410.75 $1,410.75
2 Each MAB3-A2C112E- MultiRae Lite with Wireless $2,257.60 $4,515.20
420
2 Each MCB3-A3C1 REZ- MultiRae Pro with 10.6 eV ppb/PID/LEL/CO+H2S/02/Gamma $6,081.60 $12,163.20
420
2 Each 029-0505-000 RAELink 3 900 MHz model with Bluetooth&GPS $2,811.62 $5,623.24
Sub Total
$23,712.39
Department: 1120 Fund: 107 Hazmat Response
Account: 50-239.90
1 Each W01 B-11110260- AreaRae Plus WiF►"900 MHZ Radio ; $9,195.34 $9,195.34
001 '�
v9 Sub Total $9,195.34
gx
5
Send Invoice To:
Fire Department
s.�
2 Civic Square
Carmel, IN .46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $36,707.73
SHIPPING INSTRUCTIONS 'AR 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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider
TITLE Accreditation Budget Administrator Administration
CONTROL NO. 103247 CLERK-TREASURER