HomeMy WebLinkAbout103249 911 UNIFORM SUPPLY INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of i1arinrie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103249
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
11/15/2019 373568 Water Rescue Eqpt
911 UNIFORM SUPPLY Fire Department
VENDOR 14570 RIVER RD SHIP 31 1st Avenue N.W.
SUITE 125 TO Carmel, IN 46032-
CARMEL, IN 46033-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41561
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.02
12 Each 30200 Benchmade Houdini Knife $50.00 $600.00
Sub Total $600.00
.' r 9 as r �
5 i
-6' ,'F '�. ,,---- V +`(� _., yak:.
P
i
Send Invoice To: t :ar _.. _ ,_, s
Fire Department ,
72 Civic Square
Carmel, IN 46032- ` 3,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $600.00
SHIPPING INSTRUCTIONS 'AIP 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 Accreditation Budget Administrator Ill
CONTROL NO. 103249 CLERK-TREASURER