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CIit of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103271
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
11/19/2019 368918 New Ladder Eqpt
PENN CARE INC. Fire Department
VENDOR 1317 NORTH ROAD SHIP .2_Civic Square
TO Carmel, IN. 46032-
NILES,OH 44446-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41704
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department:..1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.06
1 Each Bag, Meret Omni Pro X $325.00 :. : $325.00
1 Each Extrication Device Ferno KED $125.00 $125.00
1 Each Suction Unit $890.00 $890.00
1 Each Traction Splint $675.00 $675.00
Sub Total '$2,015.00
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Send Invoice To:
Fire Department � � �
2 Civic Squarer xrv3 fiA.
Carmel, IN .46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $2,015.00
SHIPPING INSTRUCTIONS 'AP 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 \40N14\
TITLE Accreditation Budget Administrator
CONTROL NO. 103271 CLERK-TREASURER