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CII .City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103376
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
121612019 358637 Diagnostic Software Maintenance
CUMMINS CROSSPOINT Fire Department
VENDOR 75 REMITTANCE DR,SUITE 1701 SHIP 2 Civic Square
TO Carmel, IN 46032-
CHICAGO,.IL 60675--1701
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42252
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-632.02
1 Each 3886391 Insite Pro Registration $770.00 $770.00
1 Each 4021436 Subscription Etr Media $750.00 $750.00
Sub Total $1,520.00
Account :44 670 99
1 Each 5299899 Kit, Datalink Adapter $1,210.75 $1,210.75
Sub'Total:- $1,210.75
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Send Invoice To:
Fire Department
2 Civic Square :"
Carmel, IN 46032- , r .
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $2,730.75
SHIPPING INSTRUCTIONS *A!P 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 v - -
Denise Snyder
TITLE Accreditation Budget Administrator
CONTROL NO. 103376 CLERK-TREASURER