HomeMy WebLinkAbout33024 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
33024
THIS NUMBER MUST APPEAR ON INVOICES, MP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
811412015
Don Hinds Ford, Inc.
VENDOR
12610 Ford Drive
Fishers, IN 48038
SHIP
TO
Cannel Police Department
3 Civic Square
Cannel, IN 46032
(317) 5712559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42.370.00
1 Each Repair Parts
parts for car 63
Send Invoice To:
Carmel Pollee Department
Attn: Pat Young
3 Civic Square
Carmel, IN 48032 -
PLEASE INVOICE IN DUPLICATE
1280.57
Sub Total:
$280.57
1260.57
DEPARTMENT
Carmel Police Dept.
ACCOUNT
PROJECT
PROJECT ACCOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• aao. 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. 33024
ORDERED BY
TITLE
•
CLERK -TREASURER
OFFICE COPY
PAYMENT
• MP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE 'ROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CER01 HAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPRQP�S((IAT •N SUFFICIENTTO'PAY FOR THE ABOVE ORDER.
AMOUNT
$260.57
Chief of Police