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INDIANA RETAIL TAX EXEMPT Page 1 9
CERTIFICATE NO.003120155 002 0 PURCHA101058
SE ORDER NUMBER
11
FEDERAL EXCISE TAX EXEMPT 1I 5 V8
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/12/2017 354872
KAHLO JEEP Carmel Police Department
VENDOR 9900 PLEASANT ST SHIP 3 Civic Square
TO Carmel,IN 46032-
NOBLESVILLE, IN 46060: Blaine Mallaber
PURCHASE ID BLANKET CONTRACTPAYMENT TERMS FREIGHT
21588
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101General Fund
Account: 44-650.01
1 Each Durango $13,655.80 $13,655.80
Sub Total $13,655.80
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Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $13,655.80
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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 �J
„Hs ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 a, 3 /�.�,_,, \�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �/
Jim Barlow James Crider \
TITLE Chief Administration\
CONTROL NO. 101058 CLERK-TREASURER �(Vyi