24395 MES City' ®� Cariiiel IRTIACA RENOL TAX EXEMPT PAGE of CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMS•R
FEDERAL EXCISE TAX EXEMPT 24395
35-60000972
ONE CIVIC SQUARE 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
10129/2012 � � ��.k-- s._c-
IVIES Carmel Fire Department
VENDOR SHIP 2 Civic Square
TO
75 Remittance Drive Carmel, IN 46032
Chicago, IL 60675 - (317)571-26M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
\',,
QUANTITY UN MEASUR DESCRIPTION UNIT PRICE EXTENSION
Account 102-670.99
87 Each SCBA Markers $27.75 $2,4 14.25
Sub Total: $2,414.25
0 izi (oF CA - --laik
--------'04e9‘,
ilk I 411
« q -I i
VI „. .".*+4'
.. ** \O.
Send Invoice To: ~ j
Carmel Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Fire Department PAYMENT $2,414.25
• 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. i
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY `ti. ,
SHIPPING LABELS. i Ilk
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE \ \�• T _ -
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ` Ilk
2 4 3 9 5 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY