HomeMy WebLinkAbout101038 DON HINDS FORD INDIANA RETAIL TAX EXEMPT Page 1 of 1Cit37
o- IIariirie1 UM CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NBER
FEDERAL EXCISE TAX EXEMPT 101038
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A!P
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
12/11/2017 00352042 Staff Vehicles
DON HINDS FORD Fire Department
VENDOR 12610.FORD DRIVE SHIP 2 Civic.Square
TO Carmel, IN 46032-
FISHERS, IN 46038-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21460
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance.Capital Fund
Account: 44-650.01
1 Each 2018. F-250 -
$23,605.00 $23,605.00
1 Each 2018 Ford Police Interceptor Utility $21,166.00 $21,166.00
Sub Total $44,771.00
Send Invoice To:
Fire Department "hn
2 Civic Square
Carmel, IN 46032- •
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $44,771.00
SHIPPING INSTRUCTIONS '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
'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 1—c.4 -4r7
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
Denise Snyder James Crider
TITLE Budget&Accreditation Manager Administration
CONTROL NO. 101038 CLERK-TREASURER \�