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11,10748 .(1) f Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
0 EDCarmeR , L: ,
XCISE TAX EXEMPT 103269
a',ofi le' D ANA 460`•V�+'S'QUA"l of
FOR A'P
N N ROVED :: : ATE BOARD OF ACCOUity
Q CITY OF CARMEL-1997
PURCHASE DATE DATE REQUIRED REQUISITION NO. of CNIprQ1�S NO a S. PaulPy DESCRIPTION
11/19/2019 Clerk- reasurer 373692 Admin Chief
UPLIFT DESK Fire Department
VENDOR 2139 WEST ANDERSON LANE SHIP 2 Civic Square
TO Carmel, IN 46032-
AUSTIN,TX 78757-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41703
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-630.00
1 Each Standing Desks and Accessories per Quote#EST25825 $2,194.00 $2,194.00
1 Each UPL960-Bamboo-80x30 $0.00 $0.00
Sub.Total $2,194.00
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Send Invoice To: '4� a.,.,_ �
Fire Department \
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2 Civic Square
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Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT f PROJECT ACCOUNT AMOUNT
PAYMENT $2,194.00
SHIPPING INSTRUCTIONS *A!P 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 -XI
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �` '"
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT VIC 9:55/KgE)B ARMEL,INDIA 571-2111
Denise Snyder
TITIIEuleAttfRittiNtaSiTBudget Administrator .\\ k.
CONTROL NO. 103269 CLERK-TREASURER