24623 BullexCi
of Gemmel
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
FEDERAL EXCISE TAX EXEMPT
35-60000972
PAGE
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER. DELIVERY MEMO. PACKING SUPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
R/ 70011
�s:25■7 \,,,,-.,_ - T \ ! \ \O, C a ��,?.-
VENDOR
BuliEx
20 Corporate Circle
AllTanv NY 1)ASi
SHIP
TO
Cannel Fire Department
2 Carmel Civic Square
Carmel, IN 48032
7
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
•
FREIGHT
`
QUANTITY
UNIT OF MEASURE
NJ
Account 102. 631.00
DESCRIPTION
UNIT PRICE
EXTENSION
1 Each Training Digital g' g S ystem Per Attached
Send Invoice To:
Carmel Fire Department
2 Carmel Civic Square
Carmel, IN 46032 -
DEPARTMENT
PLEASE INVOICE IN DUPLICATE
$49,925.00
Sub Total:
$49,925.00
$49,925.00
ACCOUNT
PROJECT
PROJECT ACCOUNT 1
AMOUNT
Carmel Fire Department
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABEL$.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
24623
DOCUMENT CONTROL NO.
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT Nf�
• ALP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESSSI �¢ .225.00
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIIp THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPP/ATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.