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INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
104609
FEDERAL EXCISE TAX EXEMPT
35-6000972
ONE CIVIC SQUARE
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CARMEL, INDIANA 46032-2584
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FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Manikins - All Stations
12/7/2020368918
PENN CARE INC. Carmel Fire Department
VENDOR1317 NORTH ROAD SHIP 2 Civic Square
TO
Carmel, IN 46032-
NILES, OH 44446 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
52083
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
1120101General Fund
Account:
43-570.01
5Each06-4912FManikin Prestan Professional CPR Feedback Family$525.00$2,625.00
Each
106-496001Manikin Simulaids Adult Airway Management Trainer$1,710.00$1,710.00
Each
106-414205Manikin Simulaids Humerous Intraosseous (IO)$375.00$375.00
Each
106-08332002Manikin, Ambu Airway Management Trainer (Head Only)$1,375.00$1,375.00
Each
106-36800Manikin, Laerdal Airway Management Trainer$2,325.00$2,325.00
Each
106-11393Manikin, Simulaids Critical Airway Management Trainer$1,420.00$1,420.00
Each
106-41785UManikin, Simulaids Life/form Advanced Airway Larry$1,165.00$1,165.00
Each
1Quote M50877$0.00$0.00
Sub Total$10,995.00
Send Invoice To:
Carmel Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$10,995.00
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ORDERED BY
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Denise Snyder
TITLEAccreditation/Budget Administrator
104609
'10531.01#
CLERK-TREASURER