HomeMy WebLinkAbout103273 PEDEGO CARMEL City
INDIANA RETAIL TAX EXEMPT Page 1 of 1
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CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103273
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/19/2019 373115 E-Bikes&Accessories
PEDEGO CARMEL Fire Department
VENDOR 254 VETERANS WAY SHIP 2 Civic Square
SUITE E TO Carmel, IN 46032-
CARMEL, IN 46032-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41706
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.99
1 Each Bike Accessories Per Attached Quote 144 $833.14 $833.14
2 Each Per Attached Quote 139 $3;295.00. $6,590.00
2 Each Thule Easyfold XT, Per Attached Quote 139 $599.95, $1,199.90
Sub Total $8,623.04
3F
Send Invoice To: sn ..
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $8,623.04
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 CricIr Y
TITLE Accreditation Budget Administrator Administrtp
CONTROL NO. 'I 03273 CLERK-TREASURER �l