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INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
104933
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
Replacement Equipment
1/25/202100351580
STRYKER MEDICAL Fire Department
VENDORPO BOX 93308 SHIP 2 Civic Square
TO
Carmel, IN 46032-
CHICAGO, IL 60673 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
53458
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
1120102Ambulance Capital Fund
Account:
42-390.11
5Each11160-000005NIBP Cuff - Reusable Adult$25.20$126.00
Sub Total$126.00
Account:44-670.06
Each
411111-000020ECG Cable 12 Lead - 8 ft. Trunk Cable with AHA Limb Leads$332.64$1,330.56
Each
511171-000049Masimo Rainbow DCI Adult Reusable Sp02, SpC0, SpMet $537.60$2,688.00
Sensor, 3 Ft.
Each
511171-000082Masino RC Patient Cable - EMS, 4 Ft.$210.00$1,050.00
Sub Total$5,068.56
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$5,194.56
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ORDERED BY
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Denise Snyder
TITLEAccreditation/Budget Administrator
104933
'10531.01#
CLERK-TREASURER