24610 Municipal Emergency ServicesCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERALJ,EXCISE TAX EXEMPT
35- 60000972
PAGE \ \r
PURCHASE ORDER NUM R
24610
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
7/2412014
\Z \" � a _
VENDOR
Municipal Emergency Services
75 Remittance Drive, Suite 3135
Chicago, IL 60675
SHIP
TO
Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032
(317) 5712622
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY I UNIT, OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
Account 43-560-03
1 Each Misc. Eqpt.
Send Invoice To:
Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$2,624.00
Sub Total:
$2,624.00
$2,824.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Cannel Fire Department
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1995
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
24610
DOCUMENT CONTROL NO.
PAYMENT $2,624.00
• 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.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION APPROPRIATION SUFFIGII NT TO PAY FOR THE ABOVE ORDER.
ORDERED `����� d
TITLE
CLERK - TREASURER v \
OFFICE COPY �J