24636 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
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
N
PURCHASE ORDER NLMBER
24636
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
iitmou
` \
VENDOR
Municipal Emergency Services
75 Remittance Drive, Suite 3135
Chicago, IL 60675
SHIP
TO
Carmel Fire Department
1 Carmel Civic Square
Cannel, IN 46032
(317) 5712622
COONNFIHmATON
BLANKET
CONTRACT
PAYMENT TERMS
•- FREIGHT
QUANTITY 4UNIT,0F MEASURE 15
DESCRIPTION
UNIT PRICE
EXTENSION
Account 102-670.02
1 Each Water Rescue Equipment
Send Invoice To:
Cannel Fire Department
1 Carmel Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$2,768.88
Sub Total:
$2,768.88
$2,768.88
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Carmel Fire Department
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• COD. 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.
24636
DOCUMENT CONTROL NO.
PAYMENT $2,768.88
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P 0.
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
�TH�IS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY �c- v----+- �.a-_%_��� a.
TITLE
CLERK - TREASURER
OFFICE COPY
Cs