HomeMy WebLinkAbout24468 Pro Air CityJ��,e INDIANA RETAIL TAX EXEMPT PAGE \ _\` \
of Carmel CERTIFICATE NO.003120155 002 0
u CCC1„///a e11 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 24d6P
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
7110!2013 Zsa y_��.g\ . .‘' .,—\\ �'No
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Pm-Air Cannel Fire Department
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VENDOR TOHIP 2 Civic Square
1126 Air Drive Cannel, IN 46032
Bloomington, IN 47404 (317)571-2622
CONFIRMATION BLANKET .,CCONTRACT PAYMENT TERMS FREIGHT
C
\ QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-61 '110p
1 Each Fill Station $16,700.00 $16,700.00
Sub Total: $10,700.00
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Send Invoice To: jar- -
11
Cannel Fire Department
2 Civic Square
Carmel, IN 46032- -
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Fire Department PAYMENT $16.700.00
• AIP 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 APPR P frION SUFFICIENT TO PA!ABOVE ORDER.
• SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL y//q� �J �
THIS ORDER ISSUED / ‘1:1- Y/(��`
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT TnHE[R`ETO.
24468 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY