24609 Preferred GlobalCl of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
r , INDIANA RETAIL TAX EXEMPT
N1'CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
24609
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.
FREIGHT
DESCRIPTION
7192014
..----_s—�Q.
O.$).....3/4%S\-oAZ s
VENDOR
Preferred Global
1360 South 10th Street
Noblesville, IN 46060
SHIP
TO
Carmel Fire Department
2 Carmel Civic Square
Cannel, IN 46032
(317) 571 -2622
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
'
QUANTITY UNIT.OF MEASURE IN
Account 43501.00
1 Each Reseal Bay Floors - Sta. 42
3 Each Discount
1 Each Reseal Bay Floors - Sta. 46
1 Each Saw Cut & Repair Drains -
I Each .Re -Seal Bay Floors - S,j�
Send Invoice To:
DESCRIPTION
UNIT PRICE
EXTENSION
Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$11,848.25
($787.46)
$11,646.25
$2,700.00
$16,527.50
Sub Total:
$11,848.25
($2,362.38)
$11,646.25
$2,700.00
$16,527.50
$40,157.62
DEPARTMENT
Cannel Fire Department
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
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 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
24609
DOCUMENT CONTROL NO.
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT $40,157.62
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
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 SUFFICIENT TO PAY FOR,THE ABOVE ORDER.
AI