24592 Pearson Ford Ci*0 QQ,.,��.,,,, of ///��� }' INDIANA RETAIL TAX EXEMPT PAGE
\\1�� t \�/ o Carmel CERTIFICATE NO.0031201550020 \ ��\
111//// S. y LL �/ PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
- 35-60000972 24592
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
612/2014 I _A•se., e C
•
Pearson Ford Cannel Fire Department
VENDOR + -.TOHIP 2 Carmel Civic Square '
10650 North Michigan Road Cannel, IN 46032 v
Zionsville, IN 46077 (317)571.2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT•OF MEASURE. DESCRIPTION UNIT PRICE EXTENSION
Account 102.650.01
1 Each 2014 Ford F150 $14,929.00 $14,929.00
- Sub Total: $14,929.00
C u e .•
0
Send Invoice To: / 1U
-
Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032- .
f PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Fire Department PAYMENT MA w 00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE FO.
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
' ?HIS AP.PROPRIATION.SUEF CIENT TO PAY FOR THE ABOVE ORDER.
•SHIP RSHAID. •\/
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. y1� ,,�,/
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE V
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
24592 b CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY