102134 RESCUEGEAR, INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cit ®f Carinriel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102134
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
11/20/2018 371689 Water Rescue Equipment
RESCUEGEAR, INC. Fire Department
VENDOR 5909 BURNET ROAD SHIP 2 Civic Square
TO Carmel, IN 46032-
AUSTIN,TX 78757-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31211
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.02
1 Each 430-SR-HD INMAR Mehler HD Series $3,326.36 $3,326.36
2 Each Ice Commander Suit-Gold Uni Adult $685.29 $1,370.58
1 Each SCBA Adapter $90.00 $90.00
1 Each Scupper Valves installed on INMAR Boat $180.45 $180.45
1 Each Shipping $150.00 $150.00
Sub Total $5,117.39
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Send Invoice To:
Fire Department
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2 Civic Square , -"
Carmel, IN 46032-
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $5,117.39
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 ----, K-7,--
'THIS
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'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945)
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider
TITLE Budget&Accreditation Manager Administration
CONTROL NO. 102134 CLERK-TREASURER