HomeMy WebLinkAbout27399 Cardiac Science �ltl 0 of Carmel INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. O. 003120155 155 00 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 27399
1 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 I 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
4
1111712011
Cardiac Science Street Department
SHIP
VENDOR: Dept. 03400 W. 131st Street
0587 TO
P. O. Box 120587 Carmel, IN 46074
Dallas, TX 7S'19 R7 (317) 733 -2001
n5
CONFIRMATION, BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY 1UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 2201-630.00 I
1 Each Cabinets $25.00 $25.190•
2 Each Cabinets $59.00 $118.00
2 Each Cabinets $149:00 $298.00
11/ Sub Total: $441.00
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i ki (1) P4101 ..4:
V,� o o o o h �4
Send Invoice To: re"
O uv
Street Department
3400 W. 131st Street
Carmel ,'IN 46074- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT ;AMOUNT
PAYMENT $441.00
Carmel Street Department NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER I5 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED,
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
•CO.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED 13Y Vl_K YI.CJ V
PURCHASE ORDER NUMBER MUST APPEAR ON ALL I
SHIPPING LABELS. J p
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 'TITLE A t C- S R'I-c2
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I)
CLERK- TREASURER U
DOCUMENT CONTROL NO. 9 OFFICE COPY