24638 On-Ramp IndianaCi
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
Nam \.
PURCHASE ORDER NUMBER
24638
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
11)512014
vJ N-N. N - v.No
VENDOR
On -Ramp Indiana
859 Conner Street
Noblesville, IN 46060
SHIP
TO
N
Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 48032
(317) 571 -2622
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
(UNIT O4MEASI RE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 102 - 631.00
3 Each UAP- OUTDOOR AC UniFi AP
3 Each UAP- AC -USUAP AC UniFi AP
1 Each Shipping
Send Invoice To:
Carmel Fire Department
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$535.00
$340.00
$60.00
Sub Total:
$1,805.00 '
$1,020.00
$60.00
$2,685.00
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.
24638
DOCUMENT CONTROL NO.
PAYMENT 82,685.00
• 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 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY
TITLE�v —��.
CLERK - TREASURER
OFFICE COPY