HomeMy WebLinkAbout24475 Fire Innovations Cif o Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE \ `�\
,1Lr \\ / CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 24475
35-60000972
ONE CIVIC SQUARE This NUMBER MUST APPEAR ON INVOICES,AR
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
C
7/2512013 aZ5 c > . C cs\
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Fire Innovations Cannel Fire Department
VENDOR TOHIP 2 Civic Square
PO Box 2111 Cannel, IN 46032
Peta Luma, CA 94953 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
N - .S • •
QUANTITY UNIT OF MPII\03SURE DESCRIPTION UNIT PRICE EXTENSION
•
Account 43-660. ')
,
87 Each SCBA Retainer Straps $9.95 $885.65
Sub Total: $865.65
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Send Invoice To: �„� GJ i ./
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Carmel Fire Department J
2 Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Fire Department PAYMENT Dypnpn��
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THEPO.
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 SUFFICIENLTO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. � \ `\
•C.O.O.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BYti�l-\\L�a c� � �y._✓.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL eee------���
SHIPPING LABELS. \ ��/
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �,■-s._ t
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. �-
24475 NT CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY