102242 STRYKER MEDICAL Cify /fiarinriie11INDIANA RETAIL TAX EXEMPT Page 1 of 1
of (� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
\ FEDERAL EXCISE TAX EXEMPT 102242
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
12/6/2018 00351580 Batteries
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
31719
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 42-370.00
2 Each Smart Battery Pack Option $381.18 - $762.36.
Sub Total $762.36
441,001,4
Send Invoice.To:
Fire Department `' `
N., 't
2 Civic Square
Carmel, IN 46032- V LA,,A
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 9 ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $762.36
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
Denise Snyder
TITLE Budget&Accreditation Manager
CONTROL NO. 102242 CLERK-TREASURER