HomeMy WebLinkAbout32836 Don Hinds FordCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
32836
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
4/7i2015
Don Hinds Ford, Inc.
VENDOR
12810 Ford Drive
Flehers, IN 46038
SHIP
TO
Cann l Police Department
3 Civic Oqua>na
Cannel, IN 48032
(397) 5712550
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
Account 43- 510.00
1 Each Repair Parts
Cox
Send Invoice To:
Carmel Pollee Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032-
PLEASE INVOICE IN DUPLICATE
$863.11
Sub Total:
EXTENSION
$863.11
$863.11
DEPARTMENT
' Canrvnei Police Dept.
ACCOUNT
SHIPPING INSTRUCTIONS
PROJECT
PROJECT ACCOUNT
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS'1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 328 3 6
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
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.
I HEREBY CERTIFY THAT TI I'ERE IS AN UNOBLIGATED BALANCE IN
THIS APPRO SU ICIENT TO AY�FOR THE ABOVE ORDER.
PRIATIO 4A
AMOUNT
4383.11
Cif( or Polito
t