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INDIANA RETAIL TAX EXEMPT
$*/0!-)!$&.,(+
CERTIFICATE NO. 003120155 002 0PURCHASE ORDER NUMBER
104970
FEDERAL EXCISE TAX EXEMPT
35-6000972
ONE CIVIC SQUARE
:0195;4*-84;9:)77-)86515<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
HM Suits
2/8/2021375479
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
53757
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
1120102Ambulance Capital Fund
Account:44-670.04
Each
3Z5H582-NFPA 1994/2018 Edition Class 2 Certified Suit$997.31$2,991.93
94C2RPBC-OR-
2X/3X
1EachShipping$60.00$60.00
Sub Total$3,051.93
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$3,051.93
+"0($).
"%$2716',)3'%0015&)%22317)(*132%9/)0560.)445,)2#1#06/&)3-4/%()%
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2%351*5,)716',)3%0()7)39-071-')%0(716',)3,%45,)2312)348130
"901778-7)1,$
%**-(%7-5%55%',)(#-,)3)&9')35-*95,%55,)3)-4%0601&.-+%5)(&%.%0')-0
"+$6$,$90174-5:+)556:*-)++-7:-,$5,-4%223123-%5-1046**-'-)05512%9*135,)%&17)13()3#
"7;8+0)9-68,-85;4*-84;9:)77-)865)339017715/3)*-
":01968,-8199;-,15+64731)5+-=1:0+0)7:-8((#)+:9&('
ORDERED BY
)5,)+:9)4-5,):68>:0-8-6.)5,9;773-4-5::0-8-:6$
Denise Snyder
TITLE
Accreditation/Budget Administrator
104970
'10531.01#
CLERK-TREASURER