24544 Municipal Emergency Services Cl ///may INDIANA RETAIL TAX EXEMPT PAGE \ a\ \
of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
w �/ Y FEDERAL EXCISE TAX EXEMPT 24544
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
1211312013 I \�•��� D
Municipal Emergency Services Cannel Fire Department
VENDOR SHIP 2 Cannel Civic Square
75 Remittance Drive, Suite 3135 TO Cannel, IN 46032
Chicago, It 60675 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Account 43-660.
2 Each Helmets $225.00 $450.00
Sub Total: $450.00
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Send Invoice To: �l�lf` -- Ifl p,r
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Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
Cannel Fire Department PAYMENT $450.00
• 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY \ �tms S5 ' ,
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ----S.
SHISPIRD LABELS. \ \�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE c V-_>�a- ' I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. `D \•
2 4 5 4 4 CLERK-TREASURER v
DOCUMENT CONTROL NO. OFFICE COPY .
•