101421 GORDON FLESCH CO, INC. RETAIL TAX EXEMPT Page 1 of 1
ANA
ci it ®f C� I'arm CERTDIIFICATE NO00320150020 PURCHASE ORDER NUMBER
/ FEDERAL EXCISE TAX EXEMPT 101421
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
212112018 364024 Copier Chiefs Office
GORDON FLESCH CO., INC. Fire Department
VENDOR BIN 88236 SHIP 2 Civic Square:.
TO Carmel, IN 46032
MILWAUKEE,WI 53288--0236
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
23630
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.99
1 Each Canon IR ADV C5550i System $15,525.00 $15,525.00
Sub Total $15,525.00
3
s
Send Invoice To: <. -�
Fire Department
2 Civic Square. . :.. ,;
Carmel, IN 46032- :: 4, `.
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $15,525.00
SHIPPING INSTRUCTIONS *NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
*SHIP PREPAID. 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
'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 �.... �`,, �� ��y
'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider �(a
TITLE Budget&Accreditation Manager Administration
CONTROL NO. 101421 CLERK-TREASURER