101296 INTEGRITY FIRE PROTECTION INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cityof Carmel -- --- ---EO DERNUMBER
CFEDERAL EXCISE TAX EXEMPTO PURCHAIS®1�96 UMBER
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,INNP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
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
1/1712018 372005 Relocation of Sprinkler System at Station 43-Dorm Project
INTEGRITY FIRE PROTECTION, LLC Fire Department
VENDOR 11722 ALLISONVILLE ROAD SHIP 2 Civic Square
SUITE 103-317 TO Carmel, IN 46032-
FISHERS, IN 46038-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22684
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-501.00
1 Each Sprinkler System Relocation-Sta.43 Dorm-Per Quote $1,180.00 $1,180.00
dated December 8,2017
Sub Total $1,180.00
Send Invoice To:
Fire Department
i 3q
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,180.00
SHIPPING INSTRUCTIONS PART
AIP 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 UNOBLIGATED 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
BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED
Denise Snyder
TITLE Budget&Accreditation Manager
CONTROL NO. 101296 CLERK-TREASURER )4