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o f Carmel CERTIFICATE N0.003120155 002 0 \ „�\
�1/ 11 Carmel PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 24487
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. q DESCRIPTION
9!1611013 �3 �•DvC--L
Northern Safety Cannel Fire Department
VENDOR SHIP 2 Civic Square
TO
P.O. Box 42513 Carmel, IN 46032
Utica, NY 13504 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UFITOF.MEASl1REl, DESCRIPTION UNIT PRICE EXTENSION
NJ
Account 43.6160.03 .
158 Each Gloves $7.29 $1,137.24
1 Each Credit ($20.00) ($20.00)
Sub Total: $1,117.24
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Send Invoice To:
1.11
Carmel Fire Department
2 Civic Square ,
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Fire Department PAYMENT $1,117.24
• NP 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
•SHIP REPAID. `THIS APPROPRIATION SUFFICIENT S.O PAY FOR THE ABOVE ORDER.
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED. \ \�"�✓
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY VV♦ Yc
SHIPPING LABELU. �v`� � \�\\
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE \ ��'/V•//
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERRETO. v
2 Jd 4 8 7 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY