101896 THE UNIFORM HOUSE, INC. INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Ia1rIe1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101896
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
8/27/2018 313000 Gerber Jacket
THE UNIFORM HOUSE, INC. Fire Department
VENDOR 1927 NORTH CAPITOL AVE. SHIP 2 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS,IN 46202-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
28779
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-560.03
101 Each Gerber 3 n 1 Jackets $195.00 $19,695.00
Sub Total $19,695.00
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Send Invoice To: �_�
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Fire Department
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2 Civic Square `
Carmel, IN 46032- K 3
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $19,695.00
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 s - /��
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945Ny ' ' " � 1".—f7(:::€M
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider ��`
TITLE Budget&Accreditation Manager Administratio
CONTROL NO. 101896 CLERK-TREASURER