HomeMy WebLinkAbout24527 Safety Systems City0 of //��y INDIANA RETAIL TAX EXEMPT PAGE ` `\ \
® 1 1\ .°�rmel CERTIFICATE N0.003120155 002 0 - \
1LL1 \L/lur PURCHASE ORDER NCOBEA
FEDERAL EXCISE TAX EXEMPT 24527
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,ASP
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
12212013 `�\c::1
Safety Systems Cannel Fire Department
SHIP 2 Cannel Civic Square
VENDOR TO
4113 Turner Road Cannel, IN 48032
Richmond, IN 47374 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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I. x -_
QUANTITY UNIT-OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 102.67
1 Each Per Attached Quote E40 Refurb $5,988.80 $5,988.80
Sub Total: $5,988.80
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Send Invoice To t
Cannel Fire Department jJ�
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Fire Department PAYMENT $5,g68-80
• A/P 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 APPROPRIATIO SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP RSHAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS A /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE //���(�C•r�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERRETO.
2 4 5 27 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY