103097 MINERVA BUNKER GEAR CLEANERS INDIANA
31EXEMPT Page 1 of 1
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0ERTIFICATE NO000155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103097
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
9/4/2019 373550 Advanced Cleaning&Inspection
MINERVA BUNKER GEAR CLEARNERS Cannel Fire Department
VENDOR 4949 NORTHCUTT PALCE SHIP 2 Civic Square
TO Carmel, IN 46032-
DAYTON,OH 45414-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
39452
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-506.00
308 Each Advanced Cleaning and Inspection Coat and Pant $34.:50 $9,702.00
Sub Total $9,702.00
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Send Invoice To: 'v
Cannel Fire Department
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2 Civic Square
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Carmel, IN 46032- ' : i ,, °,�k -'
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $9,702.00
SHIPPING INSTRUCTIONS 'AIP 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 `�'�� `%
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY v
Denise Snyder James Crider /
TITLE Accreditation Budget Administrator Administration{,J�
CONTROL NO. 1 03097 CLERK-TREASURER