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CATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103083
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,,VP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDE CE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO1 DESCRIPTION
812612019 0035204 New Motor-VIN 9654
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DON HINDS FORD Carmel Fire Department
VENDOR 12610 FORD DRIVE SHIP 2 Civic Square
TO Carmel; IN 46032-
FISHERS,IN 46038-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
39213
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-510.00
1 Each Emergency Repair $0.00 $0.00
1 Each New Motor for Ambulance 344-VIN 9654 $15,891.95 $15,891.95
Sub Total $15,891.95
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Carmel Fire Department 'N, ',-"
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2 Civic Square 'N �� - _ ,
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Carmel, IN 46032- W , I �t
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $15,891.95
SHIPPING INSTRUCTIONS 'AIPIIVOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PAR,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. THISAPPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
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'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL - .... _
��'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 v
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider
TITLE Accreditation Budget Administrator Administration
CONTROL NO. 1 03083 CLERK-TREASURER V