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24547 Chapman Electric
City of Carmel e1 INDIANA RETAIL TAX EXEMPT PAGE R City of I1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NU FEDERAL EXCISE TAX EXEMPT 35-60000972 24547 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, 1 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 1211312013 S --sA _ . y-- Chapman Electric Supply, Inc- Cannel Fire Department VENDOR 90HIP 2 Cannel Civic Square 1500 Westfield Road Cannel, IN 46032 Noblesville, IN 46062 (317)571-2622 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNI MEA•UR DESCRIPTION UNIT PRICE EXTENSION Account 42-370-00 80 Each LED Project $34.12 $2,729.41 f Sub Total: $2,729.41 o 0 4 0%,....A.. ,... ► del ki • .4: * : ° k 41 * ■ a o OM ©` .40 Send Invoice To: Cannel Fire Department 2 Cannel Civic Square Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Fire Department PAYMENT ��p • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS T OR•+-41 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 SUFFICIE 0 PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BYL� , SHIPPING LABELS. `` •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE _ it AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 4 5 4 7 CLERK-TREASURER DOCUMENT CONTROL NO. VENDOR COPY QUOTATION Chapman Electric Supply, Inc. Order Number 1500 Westfield Rd 1086641 Noblesville, IN 46062 Order Date Page 317-773-6712 12/13/2013 14:23:32 I of 1 Bill To: Ship To: CARAMEL FIRE DEPT. CARMEL ARE DEPT. City Of Carmel Fire Dept. CITY OF CARMEL FIRE DEPT. 2 Carmel Civic Square 2 CARMEL CIVIC SQUARE Cannel, IN 46032-7543 CARMEL, IN 46032-7543 317-571-5600 Customer ID: 101927 PO Number Ship Route Taker STATION 42-LED PROJECT DEE Quantities Pricing Item II) UOM Unit Extended Ordered! Allocated! Remaining!UOM t Si,;e I^ Item Description Unit Size Price Price Uni 80.0000 0.0000 80.0000 EA LED-6116-00-UL-4-DL-N EA 34.117647 2,729.41 1.0 F32T8/6K LED UL NEW VERSION 1.0 rantcines I SUB-TOTAL: 2,729.41 TAX: 0.00 AMOUNT DUE: 2,729.41