24557 Don Hinds Ford City o n,Jlr Carmel INDIANA RETAIL TAX EXEMPT PAGE
i( CERTIFICATE NO.003120155 002 0 N . N. N
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 24557 '
ONE CIVIC SQUARE 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
1/172014 --Ne--S O
Don Hinds Ford Cannel Fire Department
VENDOR To P 2 Cannel Civic Square
12610 Ford Drive Cannel, IN 46032
Fishers, IN 46038 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
NJ y y
QUANTITY UNIT OF M6SURE DESCRIPTION UNIT PRICE EXTENSION
Account 102-650-01
1 Each -No--c:)."‘"\ ...--. o�o aSO
$26,688.00 $26,688.00
Sub Total: $26,688.00
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Send Invoice To: ,��! - - (p ,
Cannel Fire Department )1�`
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Fire Department PAYMENT 688
• 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • 1 HEREBY CERTIFY THAT-THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SSUFFIICCIENTTTTTO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEP TED. ORDERED BY IIJ
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 4 5 5 7 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY