24581 FireCatt ��CityINDIANA RETAIL TAX EXEMPT PAGE
I \�/ ® ' Carmel ar e� CERTIFICATE NO.003120155 002 0 SE �‘`�BE
��11�../// .f- y of \L/ JYl PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 24581
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
412312014 `�-.\-.�v,Z)--- ����h---- .`1_.L�
FireCatt Cannel Fire Department
VENDOR
SHIP 2 Cannel Civic Square
3250 West Big Beaver Road, Suite 544 Carmel, IN 46032
Troy, MI 48084 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
N
OUANTITY UNIT OF MEASURE . DESCRIPTION UNIT PRICE I EXTENSION
Account 43-515.01
1 Each Hose Testing $4,680.00 $4,680.00
Sub Total: $4,680.00
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Send Invoice To: —. � o� � L�SJ�
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Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
Cannel Fire Department PAYMENT $4.680.00
• NP 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.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. � -�N�� e
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLEv-tea�� r\-----> c✓
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. v
2458 1 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY
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