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104961 ALL SAFE INDUSTRIES INC
Page 1 of 1 INDIANA RETAIL TAX EXEMPT $*/0!-)!$&.,(+ CERTIFICATE NO. 003120155 002 0PURCHASE ORDER NUMBER 104961 FEDERAL EXCISE TAX EXEMPT 35-6000972 ONE CIVIC SQUARE :019 5;4*-8 4;9: )77-)8 65 15<61+-9# )%7 <6;+0-8# ,-31<-8> 4-46# 7)+215/ 93179# CARMEL, INDIANA 46032-2584 9017715/ 3)*-39 )5, )5> +688-9765,-5+- FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Level A Suits 2/3/2021375479 ALL SAFE INDUSTRIES INC Fire Department VENDOR11360 BLUEGRASS PKWY SHIP 2 Civic Square TO Carmel, IN 46032- LOUISVILLE, KY 40299 - PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 53686 QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION Department:Fund: 1120102Ambulance Capital Fund Account:44-670.04 Each 3Z5H582-NFPA 1994/2018 Edition Class 2 Certified Suit$906.60$2,719.80 94C2RPBC-OR- 2X/3X 1EachShipping$60.00$60.00 Sub Total$2,779.80 Send Invoice To: Fire Department 2 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT $2,779.80 +"0($). " %$2 716',)3 '%0015 &) %22317)( *13 2%9/)05 60.)44 5,) 2#1# 06/&)3 -4 /%() % -&'++')% ')-.,/#.'*)- 2%35 1* 5,) 716',)3 %0( )7)39 -071-') %0( 716',)3 ,%4 5,) 2312)3 48130 "9017 78-7)1,$ %**-(%7-5 %55%',)(# - ,)3)&9 ')35-*9 5,%5 5,)3) -4 %0 601&.-+%5)( &%.%0') -0 "+$6$,$ 90174-5: +)556: *- )++-7:-,$5,-4 %223123-%5-10 46**-'-)05 51 2%9 *13 5,) %&17) 13()3# "7;8+0)9- 68,-8 5;4*-8 4;9: )77-)8 65 )33 9017715/ 3)*- ":019 68,-8 199;-, 15 +64731)5+- =1:0 +0)7:-8 ((# )+:9 &(' ORDERED BY )5, )+:9 )4-5,):68> :0-8-6. )5, 9;773-4-5: :0-8-:6$ Denise Snyder TITLE Accreditation/Budget Administrator 104961 '10531. 01# CLERK-TREASURER