101386 FIREFIGHTERS BOOKSTORE •
INDIANA RETAIL TAX EXEMPT - Page 1oftCityof Cannel
CERTIFICATE'NO.003120155 002 0 PURCHASE ORDER NUMBER •
FEDERAL EXCISE TAX EXEMPT 101386
ONE CIVIC SQUARE 35-6000972 . . THIS NUMBER MUST APPEAR ONINVOICES,AIP
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
•
2/9/2018 369302 HM Book
FIREFIGHTERS BOOKSTORE - Fire Department
VENDOR 16821 KNOTT AVENUE • SHIP 2 Civic Square • •
TO:.. Carmel,:IN.46032-
• LA MIRADA,CA 90638'-
• ' PURCHASE ID BLANKET CONTRACT : - PAYMENT TERMS:' I- ' FREIGHT
23283 -
QUANTITY UNIT OF MEASURE- : :: DESCRIPTION :- : : UNIT PRICE - EXTENSION
Department. 1120 Fund 101 General Fund
Account: 43-570.01 '
• • 1: Each N472-18 NFPA 472-Standards for.Comptence of Responders to- - $60.84 $60.84
HM/WMD Incidents -
1 Each Shipping : - - $7.50 •
.
• $7.50
Sub Total $68.34
.
•
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Send Invoice To: - : ,; mr
Fire Department-: . '. lAtiFrakii Pt' 1' - •.
•
2 Civic Square
Carmel, IN 46032- .:
PLEASE INVOICE IN DUPLICATE_
. :. DEPARTMENT d .ACCOUNT . : PROJECT ': .. . h PROJECT ACCOUNT . . .. . AMOUNT.'.
PAYMENT :. : : . . $68.34
•NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A -
SHIPPING INSTRUCTIONS 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 ✓
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder
.:. : . •. • . ' TITLE Budget&Accreditation Manager ' •
. .
CONTROL NO. CLERK-TREASURER