HomeMy WebLinkAbout106247 ALL SAFE INDUSTRIES INC
City of Carmel
EachEachSub Total
Department:Account:Fund:
41Z5H582-NFPA 1994/2018 Edition Class 2 Certified SuitShipping$991.82$110.00Page 1 of 1$3,967.28$4,077.28$110.00
112044-670.04102Ambulance Capital Fund
INDIANA RETAIL TAX EXEMPT
Send Invoice To:
94C2RPBC-OR-
CERTIFICATE NO. 003120155 002 0PURCHASE ORDER NUMBER
Fire Department
LG/XL
106247
FEDERAL EXCISE TAX EXEMPT
35-6000972
2 Civic Square
THIS NUMBER MUST APPEAR ON INVOICES, A/P
ONE CIVIC SQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
CARMEL, INDIANA 46032-2584
Carmel, IN 46032-
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PLEASE INVOICE IN DUPLICATE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTIONDEPARTMENTACCOUNTPROJECTPROJECT
ACCOUNTAMOUNT
Level A Suits
$4,077.28
PAYMENT
1/31/2022375479
* 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
ALL SAFE INDUSTRIES INC Fire Department
*SHIP PREPAID.
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
VENDORSHIP
10711 ELECTRON DR 10701 N. College, Ste. A
*C.O.D. SHIPMENT CANNOT BE ACCEPTED.THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
TO
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE
Carmel, IN 46280-
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 194
LOUISVILLE, KY 40299 -
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
Denise Snyder
TITLE
63099Accreditation/Budget Administrator
106247
CONTROL NO.
CONTROLLER
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION