24580 Municipal Emergency Services City of Carmel INDIANA RETAIL TAX EXEMPT PAGE
,11r I,C./ CERTIFICATE NO.003120155 002 0 \ \.--,\
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 240
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
412212014 • _--S. o�� \Z..4.-N_C --•.
Municipal Emergency Services Cannel Fire Department
VENDOR TOHIP 2 Carmel Civic Square
75 Remittance Drive, Suite 3135 Cannel, IN 46032 -
Chicago, IL 60675 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
`v 'N ' - •
QUANTITY UNITOF MEASIY_REI DESCRIPTION UNIT PRICE EXTENSION
Account 43-660.03
28 Each Boots $369.82 $10,354.97
Sub Total: $10,354.97
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Send Invoice To:
Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
•
Carmel Fire Department PAYMENT 810254.97
• 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 APPROP �II UFFIcIENT TO PAY FOR ABOVE ORDER.
• SHIP REPAID. `/
•co D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �. Tit-2
SHIPPING LABELS. /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE A a i!
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
4 5 8 O CLERK-TREASURER
DOCUMENT CONTROL NO, OFFICE COPY