101601 DAVID MOORE INDIANA RETAIL TAX EXEMPT Page 1 of 1
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CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101601
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
4/23/2018 371893 ISO Class-AFG Grant
DAVID MOORE Fire Department
VENDOR 2735 N RILEY HIGHWAY SHIP 2 Civic Square
TO Carmel,IN 46032-
SHELBYVILLE,IN 46176-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
25279
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43,570.03
1 Each ISO $1,375.00 $1,375.00
Sub Total $1,375.00
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Send Invoice.To: ;� zy ,� �.��:�.... _ ;tr,t
Fire Department
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2 Civic Square a
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Carmel, IN 46032= ,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $1,375.00
SHIPPING INSTRUCTIONS •NP 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 "'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY \c
Denise Snyder
TITLE Budget&Accreditation Manager
CONTROL NO. 101601 CLERK-TREASURER ��j\y