101548 BULLEX INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carme CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101548
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
4/2/2018 368576 Replacement Panel and Accessories
BULLEX Fire Department
VENDOR L-3509 SHIP 2 Civic Square
TO Carmel, IN 46032-
COLUMBUS, OH 43260-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS _.
---------— — — --
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.99
4 Each 101719 Fuse $5.60 $22.40
4 Each 103741 Attack Panel Power Supply $199.86 $799.44
4 Each 103949 Attack Power Cable Assembly : $0.00 $0.00
1 Each 104056 Attack Fire Panel $4,611.12 $4,611.12
1 Each Shipping $81.90 $81.90
Sub Total $5,514.86
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Send Invoice To: \ \t. `a .z .c.,,.,. 4a . ..—
Fire Department
2 Civic Square
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Carmel, IN 46032- ti i
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $5,514.86
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 --.�„ Lw ---�
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ='' ' ~ ` '
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY —__._--
Denise Snyder Douglas Haney
TITLE Budget&Accreditation Manager Corporation Counse A
CONTROL NO. 101548 CLERK-TREASURER - �