HomeMy WebLinkAbout106381 X-NAUT LLC
City of Carmel
EachEachEachEachEachEach Sub Total
Department:Account:Fund:
2122220291-0399-51980291-0399-0291-0399-5150 0009-0348-29310291-0399-2102-Double Ball Tough MountQuote #34MapPower AMPMagPower ReceiverFlexGrip SkinFlexGrip Cooling Case$399.99$110.00$135.00$110.00$6
9.99$0.00 Page 1 of 1$1,649.96$139.98$220.00$270.00$220.00$799.98$0.00
112044-631.00102Ambulance Capital Fund
INDIANA RETAIL TAX EXEMPT
Send Invoice To:
Black5141FGFG
CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Fire Department
106381
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
Car 43/44
$1,649.96
PAYMENT
3/21/2022376375
* 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
X-NAUT LLC Fire Department
*SHIP PREPAID.
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
VENDORSHIP
1332 GLADYS AVE 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
LONG BEACH, CA 90808 -
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
Denise Snyder
TITLE
64362 Accreditation/Budget Administrator
106381
CONTROL NO.
CONTROLLER
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION