103503 CLARKE POWER SERVICES INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of carinnie1
CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 103503
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
12/12/2019 369300 Repair VIN 2056
CLARKE POWER SERVICES INC Carmel Fire Department
VENDOR PO BOX 710157 SHIP 2 Civic.Square
TO Carmel, IN 46032-
CINCINNATI,OH 45271--0157
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42630
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department:_ 1120 Fund: 101 General Fund
Account: 43-510.00
1 Each . Repair VIN 2056 $5,406.22 $5,406.22
Sub Total $5,406.22
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Send Invoice To: Pe
Carmel Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $5,406.22
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 James Crider
TITLE Accreditation Budget Administrator Administration
CONTROL NO. 103503 CLERK-TREASURER