HomeMy WebLinkAbout24496 Municipal Emergency Services Nit of Carmel INDIANA RETAIL TAX EXEMPT PAGE i\�/ ,11r 1,�,/ CERTIFICATE TAI TAX EXE PT 0 \
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 24496
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
10/1612013 r a,__
Municipal Emergency Services Cannel Fire Department
VENDOR TOHIP 2 Civic Square
75 Remittance Drive, Suite 3135 Cannel, IN 46032
Chicago, IL 60675 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Account 43-560.03
11 Each Protege ZM Single Gas CO Monitor $137.31 $1,510.41
Sub Total: $1,510.41
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Send Invoice To: - e '
Carmel Fire Department
2 Civic Square,
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Fire Department PAYMENT $1.510.41
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P
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 ` -�L�s� • ���1�
SHIPPING LABELS. \�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE \..,"v"`-v� ��
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 'A
24496 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY
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