101278 A F C INTERNATIONAL INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
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//jj //jji� of . IIarriie1 CERTIFICATE'NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 01 278
ONE CIVIC SQUARE' 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL;INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL=1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO;. VENDOR.NO. DESCRIPTION
1/10/2018 00353173 Sensit Repair
A F C INTERNATIONAL INC Fire Department
VENDOR PO BOX 894 SHIP 2 Civic Square
715C SW ALMOND ST :. : TO_ Carmel,:IN:46032-
DEMOTTE, IN 46310-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22542
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 1120 Fund: 101 General Fund
Account: 43-509.00
1 Each Detector Parts&Repair $122.00 _ $122.00
1 Each Shipping $20.00 _. $20.00. :
Sub Total $142.00
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Send Invoice To: - w e
Fire Department .
2 Civic Square
Carmel, IN 46032-.
PLEASE INVOICE IN DUPLICATE.
DEPARTMENT ACCOUNT- . PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $142.00
SHIPPING INSTRUCTIONS •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
*SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN:: .
•C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•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. ORDERED BY
Denise Snyder
TITLE .:. Budget&Accreditation:Manager
CONTROL NO. 101278 CLERK-TREASURER