102960 OMG NATIONAL INDIANA RETAIL TAX EXEMPT I Page 1 of 1
Co
ity of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102960 UQ\13
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, 1
SHIPPING LABELSIAND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 1
1 I
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6/19/2019 371398 Stickers
OMG NATIONAL Carmel Fire Department
VENDOR 1801 N. PINE ISLAND ROAD STE 200 SHIP 2 Civic Square '
TO Carmel, IN 46032-
1
PLANTATION, FL 33322-
PURCHASE ID I BLANKET CONTRACT PAYMENT TERMS FREIGHT
37265
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 42-390.20 I
1 Each Shipping $59.77 $59.77
1 Each Stickers $789L00 $789.00
Sub T tal $848.77
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Send Invoice To: }".;
Carmel Fire Department
2 Civic Square
Carmel, IN 46032- \\*N. '1/4N1N--- 11-"rfilip fit\tA
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT I $848.77
SHIPPING INSTRUCTIONS *A/P 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 LABS
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 �'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder
TITLE Accreditation Budget Administrator I
CONTROL NO. 1 02960 CLERK-TREASURER