HomeMy WebLinkAbout112871 OHD LLLP
City of Carmel
EachEachEachEachEachSub Total
Department:Account:Fund:
11111FTK 9513-0130FTK 9519-4200FTK 3010-40235-Yr QuantiFit 2 Gold PackageShippingQuantiFit 2 Respirator Fit Testing SystemQuantiFit 2 BatteryKit 1 40MM DIN Single Screw In$5,080.50$8,200.00$160.00$45
0.00$75.00Page 1 of 1$13,965.50$5,080.50$8,200.00$160.00$450.00$75.00
111044-670.99101General Fund
INDIANA RETAIL TAX EXEMPT
Send Invoice To:
CERTIFICATE NO. 003120155 002 0PURCHASE ORDER NUMBER
Carmel Police Department
112871
Accounts Payable
FEDERAL EXCISE TAX EXEMPT
35-6000972
3 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
$13,965.50
PAYMENT
11/5/2024373821
* 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
OHD LLLP Carmel Police Department
*SHIP PREPAID.
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
VENDORSHIP
2687 JOHN HAWKINS PARKWAY 3 Civic Square
*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 LABEL
Carmel, IN 46032-
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
HOOVER, AL 35244 - Don Kirch
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
Drake SterlingZac Jackson
TITLE
92885ChiefCFO
112871
CONTROL NO.
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION