HomeMy WebLinkAbout25783 Champion Chrysler Jeep DodgePURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
612312011
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
Champion Chillslordgep Codga
VENDOR
4605 W. 68th Street
Indianapolis, IN 46280
BLANKET
Y.
CONTRACT
UNIT OF MEASURE
PAYMENT TERMS
DESCRIPTION
FREIGHT
UNIT PRICE
CONFIRMATION
QUANTIT
Account 420.00
1 Each windshield wiper module
Car 7 /Pros -l-
Send Invoice To:
Carmel PoIIco Department
Attn: 'roma Anderson
3 Chile 0quna
Carmel, IN 46032-
DEPARTMENT
Carmel Police Dept.
SHIPPING INSTRUCTIONS
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
SHIP
TO
PLEASE INVOICE IN DUPLICATE
ORDERED BY
TITLE
CLERK TREASURER
DOCUMENT CONTROL NO. 25783 OFFICE COPY
CauDnrl Police Department
3 Civic 9 quana
Carmel, IN 46032
(317) 679
Chief of Police
$111.20
Sub Total:
PAGE
PURCHASE ORDER NUMBER
25
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
$119.20
$111.20
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
$111.20
PAYMENT
A/P 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 AFFIDAVIT ATTACHED.
I HEREBY CERTI Y THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROBR7I�N SUFFICIENTtO PAY FOR THE ABOVE ORDER.
EXTENSION