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INDIANA RETAIL TAX EXEMPT
PURCHASE ORDER NUMBER
CERTIFICATE NO. 003120155 002 0
City of Carmel
FEDERAL EXCISE TAX EXEMPT
105136
35-6000972
THIS NUMBER MUST APPEAR ON INVOICES, A/P
ONE CIVIC SQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
CARMEL, INDIANA 46032-2584
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Updated Repair E342
4/5/2021358637
CUMMINS CROSSPOINT Carmel Fire Department
VENDORSHIP
75 REMITTANCE DR, SUITE 1701 10701 N. College Avenue, Ste A
TO
Carmel, IN 46032-
CHICAGO, IL 60675--1701
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
55300
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
1120101General Fund
Account:
43-510.00
1EachRepair Engine 342 Per Quote$13,021.55$13,021.55
Sub Total
$13,021.55
Send Invoice To:
Carmel Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$13,021.55
PAYMENT
* A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
*SHIP PREPAID.
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D. SHIPMENT CANNOT BE ACCEPTED.THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 194
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Denise SnyderJames Crider
TITLE
Accreditation/Budget AdministratorDirector of Administration
CONTROL NO.
105136
CONTROLLER