HomeMy WebLinkAbout112983 M-VAC SYSTEMS INC
City of Carmel
EachEachEachEachEachEachEachEachEachEachEachEachSub Total
Department:Account:Fund:
118214111312M-Vac 100-CaseSRS 1000-CasePF 040Filter 100-CaseTB 05TB 15TB 15SEC 100PF ShieldMVHEquipment Service & MaintenanceSterile Solution - 1 LiterSterile Pre-Filter, 40 micronSterile
Filter UnitShippingSEC Extension Tubing 5ftSEC Extension Tubing 15ftSEC Extension Tubing 10ftSEC - Field UnitNon-Sterile Pre-filter Vacuum ShieldM-Vac Sampling HarnessM-Vac and Sampling
Head$44,600.00$1,280.00$850.00$260.00$223.00$374.00$140.00$44.00$13.00$37.00$78.00$57.00Page 1 of 1$44,600.00$49,319.00$1,280.00$1,700.00$140.00$260.00$104.00$446.00$374.00$148.00$132.00$57.00$78.00
111044-670.99101General Fund
INDIANA RETAIL TAX EXEMPT
Send Invoice To:
CERTIFICATE NO. 003120155 002 0PURCHASE ORDER NUMBER
Carmel Police Department
112983
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
$49,319.00
PAYMENT
11/26/2024378118
* 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
M-VAC SYSTEMS INC Carmel Police Department
*SHIP PREPAID.
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
VENDORSHIP
640 W SANDY PKWY 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
SANDY, UT 84045 - Don Kirch
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
Drake SterlingZac Jackson
TITLE
93440ChiefCFO
112983
CONTROL NO.
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION