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City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDERQNUMBER
�ll ll FEDERAL EXCISE TAX EXEMPT 1 00785
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
ICARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
i SHIPPING LABELS AND ANY CORRESPONDENCE
1FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
IIPURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1011112017 365866
HENDERSON IMPORTS, LTD Fire Department
VENDOR 2584 GARFIELD ROAD NORTH,STE.43 SHIP 2 Civic Square
TO Carmel, IN 46032-
TRAVERSE CITY,MI 49686-
PURCHASE ID , BLANKET 11 CONTRACT M PAYMENT TERMS FREIGHT
19734
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.99
1 Each Honor Guard Equipment Per Attached Quote $798.00 $798.00
Sub Total $798.00
Send Invoice To:
Fire Department
2 Civic Square
Carmel,IN 46032-
_ PLEASE INVOICE IN DUPLICATE PROJECT ACCOUNT AMOUNT
DEPARTMENT T ACCOUNT PROJECT
PAYMENT $798.00
'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS 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
TITLE Budget&Accreditation Manager \Q
CONTROL NO. 100785 CLERK TREASURER