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City Carme CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER of FEDERAL EXCISE TAX EXEMPT 103528
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A1P
• 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
12/13/2019 190775 Stop the Bleed Info
MACO PRESS INC Carmel Fire Department
VENDOR ;PO BOX 329 SHIP 2 Civic Square
TO Carmel, IN 46032-
CARMEL, IN 46082--0329
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42701
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 42-301.00
2000 Each Stop the Bleed Information $0.27 $541.00
Sub Total $541.00
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Send Invoice To: �n�....F .r ... . _'5
Carmel Fire Department
2 Civic Square
Carmel, IN 46032-. '4 of ,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT d AMOUNT
PAYMENT $541.00
SHIPPING INSTRUCTIONS *NP 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
*conSHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL —��_ - A `� ✓
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 '
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Denise Snyder
TITLE Accreditation Budget Administrator
CONTROL NO. 103528 CLERK-TREASURER