102133 BINDER LIFT LLC o INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102133
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
11/20/2018 372946 EMS Equipment
BINDER LIFT LLC Fire Department
VENDOR 23 BEACON DRIVE SHIP 2 Civic Square
TO Carmel, IN 46032-
CODY,WY 82414-
I PURCHASE ID1 BLANKET CONTRACT PAYMENT TERMS FREIGHT
L31200
L QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.06
6 Each $50 Discount ($50.00) ($300.00)
6 Each 5 Year Warranty $0.00 $0.00
6 Each Binder Lift-Vinyl Standard Size 34"-62" $749.00 $4,494.00
1 Each Quote#112312 $0.00 $0.00
1 Each Shipping $56.00 $56.00
Sub Total $4,250.00
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Send Invoice To:
Fire Department a
:, I'
2 Civic Square
Carmel, IN 46032- - " ,, .
__ PLEASE INVOICE IN DUPLICATE
I- DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $4,250.00
SHIPPING INSTRUCTIONS PART
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 ,,"='=°=''`'""''='-'-�,-, 'a �s "-'"'i
BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED \
Denise Snyder
TITLE Budget&Accreditation Manager V\\T
4
CONTROL NO. 102133 CLERK-TREASURER