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Chitof Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
JL FEDERAL EXCISE TAX EXEMPT 103274
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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 00351580 CPR Feedback Devices
STRYKER MEDICAL Fire Department
VENDOR PO BOX 93308 SHIP. 2 Civic Square
TO Carmel, IN 46032-
CHICAGO, IL 60673- '
PURCHASE ID BLANKET CONTRACT: PAYMENT TERMS FREIGHT
41708
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.06
6 Each:78000125 4 Yr.TrueCPR Extended Warranty $250.00 $1,500.00
2 Each 11600=000030 Code Stat 11 Data Review Seat License $2,760.00 $5,520.00
6 Each 11260.-000044 TrueCPR Carry Case $65.60 $393.60
6 Each 80596-000003 TrueCPR Coaching Device Includes TrueCPR Device $1,480.00 $8,880.00
Sub Total . $16,293.60
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Send Invoice To: • • 3
Fire Department �� � `�
2 Civic Square , r 0t .,.
Carmel, IN 46032 -,,� 1. s
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $16,293.60
SHIPPING INSTRUCTIONS 'ASP 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 ' a M s
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �V\
Denise Snyder James Cride qi
TITLE Accreditation Budget Administrator Administration
CONTROL NO. 103274 CLERK-TREASURER
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