24573 IAFC 1 C 4 INDIANA RETAIL TAX EXEMPT PAGE ��`
i or Carmel. CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NU?NBER
FEDERAL EXCISE TAX EXEMPT,
35-60000972
ONE CIVIC SQUARE .; ,f j 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
3120 14 a.. 0. S
IAFC d o Experient Inc. Carmel Fire Department
VENDOR SHIP 2 Carmel Civic Square
TO
PO Box 4088 Carmel, IN 46032
Frederick, MD 217066 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS - FREIGHT
QUANTITY UNIT OF,,MEA URE DESCRIPTION UNIT PRICE EXTENSION
Account.43-670.04
1 Each Registration Fees- Fre-Rescue Med - c -''-----,)94-C 5 CZ/n, $600.00 $600.00
1 Each. Registration Fees- Fre-Rescue Med_- N-',,,.._-... -„.,..,_._ $650.00 $6550.00
' :2 Each Registration Fees- Fre-Rescue Meg -�-.. _< $675.00 $1,350.00
jr Sub-Total: $2,600.00
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Send Invoice To: .',400"-- .--ilacge_ lip
Carmel Fire Department
2 Carmel Civic Square
Carmel, IN 460r32-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Fire Department PAYMENT $2,600.00
• 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. p. ..
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. ORDERED BY _____S.,._Y "'s��`
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE `\ �'. ` QTY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 4 5 7 3 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY