HomeMy WebLinkAbout24510 Hoosier Fire City of Carmel INDIANA RETAIL TAX 015500 'PAGE
J� CERTIFICATE NO.003120155 002 0 \
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 24510
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
111412013
Hoosier Fire Equipment Cannel Fire Department
VENDOR
SHIP 2 Civic Square
4009 Montdale Park Drive TO Carmel, IN 46032
Valparaiso, IN 46383 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNI MEAS% DESCRIPTION UNIT PRICE EXTENSION
Account 102-870.99 �o0 .w 1._00 . o
1 Each Shipping --.... -, ;,'_ :0
10 Each 5" Fire Hose 1- —,; _ ,- �.:,3
3 Each 3" Hose $417.60
$i,252.B0
fi(lf Sub Total: a
. . w �` ;
NillikenV
o yy}
Send Invoice To:
Cannel Fire Department
2 Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE \--'. S�,st:o
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
Carmel Fire Department PAYMENT yu,00.4.1.a4.
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER 0 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 NT TO PAY FOR TH VE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. y O
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. // J
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE I
I AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
`h S Z O CLERK-TREASURER
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DOCUMENT CONTROL NO. VENDOR COPY
Page 1 of 1
cs. Q UOTATION
1 _oo!...W.g Q� ( DATE: September 17, 2013;
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QUOTE TO: Carmel Fire Department SALES REP.: Rod Pressel
Two Civic Square EMAIL: rpressel @hoosierfire.com
Carmel, IN 46032 PHONE: (317) 891-8375
FAX: (317) 891-7375
ATTN: Bob VanVoorst
EMAIL: bvanvoorst @carmel.in.gov TERMS: Net 10 Days
SHIP: Direct/Best Way FOB: Shipping Point
CONDITIONS: QUOTE VALID FOR 30 DAYS UNLESS OTHERWISE NOTED. THE PRICES QUOTED ARE FOR THE SPECIFIC
QUANITIES, STYLES, TERMS AND CONDITIONS AS INDICATED. ANY DEVIATIONS MAY INVALIDATE THIS
QUOTATION.
(ITEMI QTY I MFG I PART ft , DESCRIPTION I EACH I TOTAL
2 3 All-American FC50X30X*50S 3" PONN Conquest LDH Supply Hose with 5" $417.60 $1,252.80
Locking Storz Couplings; 30 ft. Sections
-specify color
3 1 estimated shipping $100.00 $100.00
QUOTE TOTAL $1,352.80
NOTES& COMMENTS:
a. shipping must be via motor frieght
b.
c.
QUOTATION PREPARED BY: Thank you for the opporttunity to quote.
Rod Pressel
Valparaiso Offce Mid-State Office
4009 Montdale Park Drive 3863 N.Commercial Parkway
Valparaiso, IN 46383 Greenfield, IN 46140
Ph.: 800.552.2691 www.hoosierfire.corn Ph: 888.436.6075