HomeMy WebLinkAbout57248 MUNICIPAL EMERGENCY SERVICES INDIANA RETAIL TAX EXEMPT PAGE 1
(21;ty ell, h 1qy CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT 57248
35-60000972
ONE CIVIC SQUARE
C.ARMEL,IN DIAILIA 46O 32_2 E,4 THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
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
10/3/2022 10/08/22 29582 358990 Staff Uniforms for Director and Assistant Director
Municipal Emergency Services, Inc. Administration Office
PO Box 656 1411 E. 116th Street
VENDOR SouthBury, CT 06488 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2.000 each Custom Tact Squad-Single Breasted Dress Coat(5 button - $ 360.000 $ 720.00
forest green with left sleeve CCPR emblem)
2.000 each HS1122-165-35-519GY Dress Blouse Long Sleeve-Grey $ 78.040 $ 156.08
(CCPR Emblem)
1.000 each HS1209-SS-165-253GY Dress Blouse Short Sleeve-Grey $49.090 $49.09
(CCPR Emblem)
1.000 each HS1209-SS-165-253GY Dress Blouse Short Sleeve-Grey $ 53.990 $ 53.99
(CCPR Emblem)
2.000 each HS2145-34R-37U -903 Forest Green Sentry Pant $ 55.710 $ 111.42
2.000 each Samuel Broom-45135-O.D. Green#289 Ties $ 8.500 $ 17.00
2.000 each Stratton Hats- NPS F44 Straw Hat $ 119.250 $238.50
2.000 each 6582-1-Brown/Gold - Heavy Duty Off Duty Belt $26.640 $ 53.28
2.000 each Rothco-3992 Brown-Custom Shoes $ 76.270 $ 152.54
6.000 each Socal Emblem -CCPR Custom Emblem $27.270 $ 163.62
6.000 each Custom Patch Applied $2.500 $ 15.00
GLAccount# 1125102-4356004
Send Invoice To:
$ 1,730.52
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Purchasing Administrator
CONTROLLER
DOCUMENT CONTROL NO. 57248 VENIDOR 4:;4: IF Y