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City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103364
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
121512019 358990 Equipment for New Ladder
MUNICIPAL EMERGENCY SERVICES Fire Department
VENDOR 75 REMITTANCE DRIVE SHIP 2 Civic.Square
SUITE 3135 TO Carmel, IN 46032=
CHICAG O .IL 60675
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42228
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.99
5 Each M-1 Aluminized Rescue Blanket $585.00 $2,925.00
3 Each BC-18 Bolt Cutter-18 $52.51 $157.53
3 Each BC-36 Bolt.Cutter-36 $83.76 $251.28
17 Each SC-1-Black Crib Step Chock, Black $125.62 $2,135.54
2 Each FIRE HOOKS Custom Fire Hooks-NHF-12 $138.77. $277.54
3 Each Fire Hooks Custom Fire Hooks TRH-8 Without D Handle $127.52 $382.56
5 Each DT-3 Dynamic Trio 8 lb.Axe 30 Probar&Marring Strap $300.04 $1,500.20
2 Each HR-1 Firehooks Unlimited Hydra-Ram Forcible Entry Tool $1,900.00. $3,800.00
4 Each RH-6 Firehooks Unlimited New York Roof Hook 6 Ft $112.51 $450.04
1 Each GMM-2 Glas Master Tool Complete $209.21, $209.21
1 Each NHFG-32 W/D Hook National Super 32"WITH; $102.51'" $102.51
2 Each RH-8 Hook NY Roof 8 Ft , f, $121.27 $242.54
3 Each RH-10 NY;Roof Hooks Aircrat'Steel with Standard Chisel $141.27 $423.81
3 Each RTK R-Tool Kit .» 4 .'" $181.27 $543.81
1 Each Shipping �` , ` $500.00 $500.00
4 Each SHF-10 Sledge Hammer,10 lb. Fiberglass $40.63 $162.52
Sub Total $14,064.09
'1 z V4
Send Invoice To: ..
Fire Department
2 Civic Square 4; 4
Carmel, IN 46032- �` �
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $14,064.09
SHIPPING INSTRUCTIONS *AIP 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 ` ------.`' J ii ` , ,
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ' �► {/G�7t
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider
TITLE Accreditation Budget Administrator Administration
CONTROL NO. 103364 CLERK-TREASURER