HomeMy WebLinkAbout24546 Chapman Electric C� o Carmel INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NU ER
FEDERAL EXCISE TAX EXEMPT 24546
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AP
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
12/132013 , y\
Chapman Electric Supply, Inc. Carmel Fire Department
VENDOR
SHIP 2 Cannel Civic Square
1500 Westfield Road TO Cannel, IN 46032
Noblesville, IN 46062 (317)5712622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
\UANTITY UN MEA DESCRIPTION UNIT PRICE EXTENSION
Account 42370.017��
100 Each LED Project $34.12 $3,411.76
Sub Total: $3,411.76
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Send Invoice To: -
�'® K. C�CoO
Cannel Fire Department
2 Cannel Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Fire Department PAYMENT $3,411.76
• 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. (1` /
•COO.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY XL��� sV �._ -s-✓ i
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
TITLE ` CV
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 \
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 454 6 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY
QUOTATION
Chapman Electric Supply, Inc. Order Number
1500 Westfield Rd 1086513
Noblesville,IN 46062 Order Date Page
317-773-6712
12/10/2013 13:41:21 1 of 1
Bill To: Ship To:
CARMEL FIRE DEPT. CARMEL FIRE DEPT.
City Of Carmel Fire Dept. CITY OF CARMEL FIRE DEPT.
2 Carmel Civic Square 2 CARMEL CIVIC SQUARE
Carmel,IN 46032-7543 CARMEL, IN 46032-7543
317-571-5600
Customer ID: 101927
PO Number Ship Route Taker
STATION 41 LED PROJECT DEE
Quantities Pricing
Item ID UOM Unit Emended
Ordered Allocated RemaininglUOM a Item Description Unit Size Price Price
Unit Size O
100.0000 0.0000 100.0000 EA LED-6116-00-UL-4-CW-N EA 34.117647 3,411.76
1.0 F32T8/4K LED UL N W VERSION 1.0
Total Lines: I SUB-TOTAL: 3,411.76
TAX: 0.00
AMOUNT DUE: 3,411.76