24742 HH GreggCi 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
PURCHASE ORDER NUMBER
24742
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND AW CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
111912015
,..---
<N a . ��
VENDOR
HH Gregg
4151 East 96th Street
Indianapolis, IN 46240
SHIP
TO
Cannel Fire Department
2 Carmel Civic Square
Carmel, IN 46032
(317) 571-2622
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
,..---
QUANTITY 'UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
l
Account 102J
1
1
1
1
1
1
Each
Each
Each
Each
Each
Each
Send Invoice To:
Delivery Fee
Freezer
Washer - Sta. 43
Refrigerator
Refrigerator
Cord&Hoses
Carmel Fire Department
2 Carmel Civic Square
Carmel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
$70.00
$764.00
$587.00
$999.00
51,499.00
$10.00
Sub Total:
$70.00
$764.00
$587.00
$999.00
$1,499.00
$10.00
$3,929.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Carmel 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.
24742
DOCUMENT CONTROL NO.
PAYMENT 6392900
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER 15 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� t _ - c . ,•�/
CLERK -TREASURER
OFFICE COPY