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24469 Municipal Emergency Services
C I � ® I° Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE I►�./1111 ,llr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 24469 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP CARMEL, INDIANA 46032-2584 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 32212013 •• Municipal Emergency Services Cannel Fire Department - VENDOR SHIP 2 Civic Square TO 75 Remittance Drive, Suite 3135 Cannel, IN 46032 Chicago, IL 60675 (317)571-2622 • CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-660.03 1 Each Waist Belts, Straps and Pads $1,835.22 $1,835.22 Sub Total: $1,835.22 off ' ,% � :e '� II w.: : L4 tis iloW ,,,• , • '!Z?©O M G `f f Send Invoice To: jlf (� Cannel Fire Department - J 2 Civic Square Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT - I PROJECT PROJECT ACCOUNT I AMOUNT Cannel Fire Department PAYMENT $1,335.22 • 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 AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFIC TTO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. / • PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY \ '-- / SHIPPING LABELS. may � .J/ •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE \ --a-p`> / \ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO 2 4 4 6 9 CLERK-TREASURER I DOCUMENT CONTROL NO. OFFICE COPY •