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INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
104666
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
Gloves
12/10/2020358990
MUNICIPAL EMERGENCY SERVICES Carmel Fire Department
VENDOR75 REMITTANCE DRIVE SHIP 2 Civic Square
TO
SUITE 3135 Carmel, IN 46032-
CHICAGO, IL 60675 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
52249
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
1120101General Fund
Account:
42-390.12
18Each2500 Large Extrication Glove$53.06$955.08
Each
62500 Xlarge Extrication Glove$53.06$318.36
Each
1Quote #QT1426628$0.00$0.00
Sub Total$1,273.44
Send Invoice To:
Carmel Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$1,273.44
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ORDERED BY
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Denise Snyder
TITLEAccreditation/Budget Administrator
104666
'10531.01#
CLERK-TREASURER