24578 Henderson Imports Cityi \�/ o f Carmel°,�rme l CERTIFICATE NO. 03120155 002 0 PAGE `-
��1// y y �1/1vs �1s 1rl PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 24578
35-60000972 •
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
41142014 .Q..�o c �u1 ,-��
Henderson Imports, Ltd. Cannel Fire Department
VENDOR SHIP 2 Cannel Civic Square
TO
2584 Garfield Road North, Ste. 43 Cannel, IN 46032
Traverse City, MI 49686 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIf'OE MEASURE \ DESCRIPTION UNIT PRICE EXTENSION
Account 102-670)
2 Each SupeHight Air Frame Bass Carrier $225.78 $451.58
w/Shipping
Sub Total: $451.58
`M
$ .Eiji Or
Send Invoice To: �1E . �((
II
•
Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT • PROJECT ACCOUNT AMOUNT
Cannel Fire Department PAYMENT $51.58
• 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.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. - '�\.,,\ C
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �C�O . .. p` v����..,� e_✓
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. y
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE \ »nom ` \ wl
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
‘4578 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY
•