HomeMy WebLinkAbout24491 Hoosier Fire Equipment CityQQ..,,,,�.�� //��y� INDIANA RETAIL TAX EXEMPT PAGE \ 'ilk_\_... \
l\ .� I \�/ ®f Carmel°,�r (�l F CERTIFICATE NO.003120155 002 0 PURCHASE ORDER Nl7MBER
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35-60000972
ONEICIVIC 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
9/1712013 • -.e.„2y� ":„.2y^az) ��sN
Hoosier Fire Equipment Cannel Fire Department
VENDOR SHIP 2 Civic Square
TO
4009 Montdale Park Drive Cannel, IN 46032
Valparaiso, IN 46383 (317)5712622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
'NS
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QUANTITY UNIT OF MEAUHE ) DESCRIPTION UNIT PRICE EXTENSION
Account 43-610.00
3 Each Strainer 1.5 nst Jef Siphon $728.80 $2,188.40
Sub Total: $1188.40
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Send Invoice To:
Cannel Fire Department
2 Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Fire Department PAYMENT 82186.40
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
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 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY��>�>,<.. ��1�\ s ✓
SHIPPING LABELS. �--, v /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE \ �-uo_ � �o.�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
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2 4 4 9 1 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY