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HomeMy WebLinkAbout102812 DON HINDS FORD INDIANA RETAIL TAX EXEMPT Page 1 of 1 CII.City of CiInriiirie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 102812 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP 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 4/17/2019 00352042 DON HINDS FORD Carmel Police Department VENDOR 12610 FORD DRIVE SHIP 3 Civic Square TO Carmel, IN 46032- FISHERS, IN 46038- Blaine Mallaber PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 35551 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1110 Fund: 101 General Fund Account: 42-370.00 1 Each Taillight assembly $404.85 $404.85 Sub Total $404.85 /0:1',----' -----------:41-tl'A /(f f � /` Y J f" v f / '11 \ \I\ i 1 y 5 Send Invoice To: \ y4 k n: *Ii " :� `z�, ,. Carmel.Police Department . f ' +,, Accounts Payable tiV W � 3 Civic Square -" �'�� g "-'' � �,. ,,�`� ;m 60 Pi sAt teak. ;,.r Carmel, IN 46032- `', 1A. . PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT I AMOUNT PAYMENT $404.85 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 LABE *THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY . Jim Barlow TITLE Chief CONTROL NO. 1 02812 CLERK-TREASURER