HomeMy WebLinkAbout24530 Hughes Safety Clay y ® n Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE \ ®l \
I,�/Il ,11r I'�/ CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUtaBER
FEDERAL EXCISE TAX EXEMPT 24530
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
121312013 c ,'a''& --.aoc�r
• Hughes Safety Inc. Cannel Fire Department
VENDOR SHIP 2 Cannel Civic Square
TO
2365 Bill Smith Road Cannel, IN 46032
Martinsville, IN 46151 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QC.
QUANTITY UNIT OF MEASURE rl DESCRIPTION UNIT PRICE I EXTENSION
Account 102-670.99
1 Each 30 Ft. Extension Ladder $795.00 $795.00
1 Each Shipping $125.00 $125.00
Sub Total: $920.00
1 �� Ccn.
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Send Invoice To:
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Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
Cannel Fire Department PAYMENT $920.00
• 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
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. --
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. N.---‘...:-.. . /
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY c •,_,��.��.. R`lti ��/
V
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE \ tip\-g- �ea Le
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. -3
24530 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY