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City of I1arrrie1 CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103375
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
12/6/2019 371994 Replace TV-Sta.44
GRAND APPLIANCE AND TV Fire Department
VENDOR 10301 ENTERPRISE WAY SHIP 2 Civic Square
TO Carmel, IN 46032-
STURTEVANT,WI 53177-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42251
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE - EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.07
1 Each 43UK6090-43"4k SmartTV $259.00, : $259.00
Sub Total $259.00
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Send Invoice To: •
..
Fire Department
2 Civic Square �
Carmel, IN 46032=
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $259.00
SHIPPING INSTRUCTIONS 'ANP 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
TITLE Accreditation Budget Administrator
CONTROL NO. 103375 CLERK-TREASURER