101321 BUSINESS FURNITURE LLC City' INDIANA RETAIL TAX EXEMPT Page 1 of 1
Carirrielof CERTIFICATE
O PURCHASE.._ O----DERNUMBER
FEDERAL EXCISE TAX EXEMPT1 Re �N
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
1/25/2018 032500 Billing
BUSINESS FURNITURE LLC Fire Department
VENDOR P.O. BOX 638459 SHIP 2 Civic Square
TO Carmel, IN 46032-
CINCINNATI, OH 45263-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22892
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-630.00
1 Each Billing Office Desk-Per Quote 250873 $821.97 $821.97
Sub Total $821.97
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Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $821.97
SHIPPING INSTRUCTIONS 'A/P 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
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*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 '�" -•-< `` - •..y
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
Denise Snyder
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TITLE Budget&Accreditation Manager
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CONTROL NO. 101321 CLERK-TREASURER \v