24663 Chapman Electric SupplyChi
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 `C ^\
PURCHASE ORDER NUMBER
24663
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
12/12/2014
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'-'. V-
\___�.._ O c,- ..----1`.�. �\\..
VENDOR
Chapman Electric Supply, Inc.
1500 Westfield Road
Noblesville, IN 46062
SHIP
TO
Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032
(317) 571 -2622
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
\
y
'-'. V-
QUANTITY I UNNI ,OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43- 601.00
15 Each EIKOLEDP- 113T8FU8 /5K
60 Each EIKOLEDP- 18T8FU6/41K
36 Each SI METY22P041U 1
48 Each LED6127000L8DLN
54 Each LED - 6116- 00- UL -E -DL-
Send Invoice To:
Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$31.76
$31.76
$112.84
$68.41
534.12
Sub Total:
$476.47
$1.805:88
$4.065.88
$3,331:77
$1,842.35
$11,622.36
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 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
24663
DOCUMENT CONTROL NO.
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT $11.622.35
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
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 APPROPRIATI9fr/ SUFFICIENT TO PAY FOR THFR ABOVE ORDER.