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HomeMy WebLinkAbout217964 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00351281 Page 1 of 1 ONE CIVIC SQUARE BLOOMINGTON FORD,INC CHECK AMOUNT: $1,908.36 �t?o CARMEL, INDIANA 46032 2200 S WALNUT ST o� BLOOMINGTON IN 47401 CHECK NUMBER: 217964 CHECK DATE: 3113/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4465001 25558 FCN140 1, 908 .36 2013 FORD INTERCEPTOR DEALER: BLOOMINGTON FORD INC MOTOR VEHICLE 2200 South Walnut RETAIL PURCHASE ORDER Bloomington, IN 47401 Order Date 2 25 , 20_it, PURCHASER: CITY OF CARMEL Purchase FCN140 Order No. Address s CIVIC SQUARE Res. Phone 46032-0000 To Be Titled As Follows City CARMEL State IN Zip 46032-000gitle Into. Driver's Lic. No. NZA State IN Ex p.SAM ROBERTS Salesperson PLEASE ENTER MY ORDER FOR THE FOLLOWING VEHICLE: ❑ UW ❑ USED ❑ DEMONSTRATOR ❑)VAR ❑ TRUCK YEAR 2013 MAKE FORD UPPER SERIES 111 TYPE tjTltfTy COLOR: 07 {lioL TRIMt�� TO BE DELIV ON OR ABOUT N/A 20 STOCK# FCN140 VIN# 1FM5K8AR6DGC16018 PRICE OF VEHICLE Is 7 ACCESSORIES: MILEAGE: TRADE-IN AND/OR OTHER CREDITS 0--Z'5598 STOCK# NtA N�A NIA Make Of Trade-In NIA Year NSA Body Type Series NSA Color NIQ Title No. N/A Mileage At Appraisal V.I.N. # Balance Owed (Good Until ): $ Balance Owed To Verified By Creditor Acct.# Address: Trade-In Allowance $ Cash Deposit With Order (Receipt# ) Cash on Delivery (Receipt# ) TOTAL CREDITS (Transfer To Left Column) $ Purchaser is responsible for and shall pay the amount, if any, by which the Balance Owed on the Trade-In exceeds the Trade-In Allowance. TOTAL ACCESSORIES: $ WARRANTY INFORMATION NEW OR DEMONSTRATOR: If the Vehicle is a new or dem- Service and Preparation $ onstrator vehicle, the on y written warranty provided with re- Freight $ spect to the Vehicle and factory installed accessories is the most recent applicable printed warranty which is made solely by the Manufacturer of the Vehicle. $ TOTAL SALES PRICE $ Dealer installed Accessories are not included in the Man- hl in i �7 ufacturer's warranty on the Vehicle and may or may not Less:Trade-In Allowance be included in separate written warranties which are made solely by Manufacturers of the Accessories. $ Trade Difference-Indiana USED: If the Vehicle is a used vehicle, the Vehicle is sold Tax Price y_Dea_1erAS IS — WITH ALL FAULTS. Sales Tax (Computed in Indiana on Tax Price) $ ALL VEHICLES: WHETHER THE VEHICLE IS NEW, A DEM- , $ USED: DEALER DISCLAIMS ALL WAR- $ RANTIES, WRITTEN, EXPRESS OR IMPLIED, INCWDING L. ALL WARRANTIES OF MERCHANTABILITY OR FITNESS Registration &Title F $ FOR A PARTICULAR PURPOSE,AND DEALER EXPRESSLY DISCLAIMS ANY LIABILITY TO PURCHASER, FOR ANY Other: $ { rt _ CONSEQUENTIAL DAMAGES, LOSS OF TIME OR INCON- ° VENIENCE ARISING OUT OF THE PURCHASE OR OPER- ATION OF THE VEHICLE. :h s r.„ st a Terms of Payment of Balance Due on Delivery: TOTAL DELIVERED P_ dx ` s y ry: ❑CASH $ ❑ CONSUMER CREDIT FINANCING Plus: Balance Owed 1 n T ;I 4 ,': , 27 048.60 BY OR THROUGH DEALER. %LESS: TOTAL CRED r.; "" °" .r# THE ADDITIONAL TERMS AND CONDITIONS ON THE Transferred From-R..—ri. =;, � .;� a ;'x r` REVERSE SIDE OF THIS ORDER ARE INCORPORATED BALANCE DUE ON k ;,. �a; , . :. $ BY REFERENCE AND ARE A PART OF THIS ORDER. 048 60 TRADE-IN CERTIFICA 3!_ GU MER CERTIFIES HIS/HER TRADE-IN VEHICLE HAS NEVER BEEN TITLED UNDER A STATE ND OR FEDERAL "BRA "` U I A `DEFECTIVE", "REBUILT', "SALVAGE", "FLOOD", ETC. (INITIAL) Purchaser acknowledges that the Additional Terms and Conditions printed on the reverse side of this Order are a part of this Order. Both sides of this Order constitute a single agreement which supersedes any prior agr ment or understanding be Dealer and Purchaser. Purchaser acknowledges receipt of a completed and signed copy of this Order. This rder shall not bin ng agreement unless accepted in writing by Dealer or an authorized representative of Dealer. ACCEP D: Purchaser BY: C/ Title J Dealer/Authorized Representative Purchaser � Date Received: THIS ORDER IS AN OFFER BY PURCHASER TO BUY HE VEHICLE. IF THE OFFER IS ACCEPTED BY THE DEALER IT BECOMES A COMPLETE CONTRACT OF SALE AND THE DEALER HAS NO OBLIGATIONS OR RESPONSIBILITIES NOT EXPRESSLY SET FORTH IN THE ORDER. BEFORE SIGNING THIS ORDER READ IT CAREFULLY. 30-IND(10-90) y ©1978,Indiana Automobile Dealers Services,Inc.,All rights reserved. � , �' �� INDIANA RETAIL TAX EXEMPT PAGE City o ��Me CERTIFICATE NO.003120155 002 0 JL ��// �a PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 266W 35-60000972 ONE CIVIC SQUARE 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 121=012 Bloomington Ford t Camel Police Department VENDOR $ IS SHIP 3 Civic Square TO 2200 S. Walnut street y Carmel, IN b Bloomington, IN 7401 (317)579 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 00-M.99 t Each 2913 Ford Utility Police Interceptor AVO Ird: Charcoal Black Extt: $271048.64 $27,048.60 Sterling CreyMetalliic _ Scab'dotal: $27,448.60 /x L050 py -A ell tie� 1 •�+� Z . S t 3 °`� �_ � Send Invoice To: Carmel Police Department Aftn: TeIesia Anderson 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Caninel Police Dept. PAYMENT $27,048.60 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. 7 NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY { . •PURCHASE ORDER NUMBER MUST APPEAR ON ALL , v. SHIPPING LABELS. ie b Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Y Y 1 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 5) 5,15 U0 CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.^ WARRANT ALLOWED 20 IN THE SUM OF$ i ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT ,DEPT.# I hereby certify that the attached invoice(s), or -� bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and -- received except -- - .....-- ._.-... ------ ------ 20 .....................................................................................................-._.......................------------..._...--................. Signature .................................. ................................................................................................................................................-- Title Cost distribution ledger classification if claim paid motor vehicle highway fund x VOUCHER NO. WARRANT NO. ALLOWED 20 Bloomington Ford Sam Roberts IN SUM OF $ 2200 S. Walnut Street Bloomington, IN 47401 $1,908.36 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25558 Encumbered 44-650.01 $1,908.36 1 hereby certify that the attached invoice(s), or I bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Wednesday, March 06, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/25/13 new vehicle/rest paid from lease $1,908.36 1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 _ Clerk-Treasurer