102002 STRYKER MEDICAL INDIANA
TAIL
EXEMPT Page 1 of 1
City (Cairririel
CERTIFICATEENO00310155 002 0 PURCHASE ORDER NUMBER
of FEDERAL EXCISE TAX EXEMPT
102002
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
Power Load for New Ambulance
10/12/2018 00351580
STRYKER MEDICAL Fire Department
VENDOR PO BOX 93308 SHIP 2 Civic.Square
TO Carmel, IN 46032-
CHICAGO, IL 60673-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30050
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-510.00
1 Each Power Load Cot for New Ambulance $23,794:00. $23,794.00
Sub Total $23,794.00
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Send Invoice To: -
Fire Department
2 Civic Square
Carmel IN 46032- , ,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $23,794.00
SHIPPING INSTRUCTIONS •A/P 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 ti .... .a `// `sr7(1-:_-_ ,a Q7,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY L- �"l
Denise Snyder James Crider
TITLE Budget&Accreditation Manager Administration \ \t
CONTROL CONTROL NO. 102002 CLERK-TREASURER