101685 PEARSON FORD, INC cII]r]r]rIIe1
INDIANA RETAIL TAX EXEMPT Page 1 of 1
��� ® CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
�/ FEDERAL EXCISE TAX EXEMPT 101685
City
ONE CIVIC SQUARE 35-6000972 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
5/29/2018 237560
PEARSON FORD,INC Carmel Police Department
VENDOR 10650 N MICHIGAN RD SHIP 3 Civic Square
TO Carmel,IN .
46032-
ZIONSVILLE, IN 46077- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
26224
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 44-650.01
1 Each Patrol Explorer $26,824.18 $26,824.18
1 Each Patrol Explorer $26,743.46 $26,743.46
Sub Total $53,567.64
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Send Invoice To: _
Carmel Police Department
Accounts Payable z
3 Civic Square °a
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT e PROJECT ACCOUNT AMOUNT
PAYMENT $53,567.64
SHIPPING INSTRUCTIONS *NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*THIS ORD
'PURCHASE SSUE IN BER MUST APPEAR H ALLSHIPPING
99,AC G LABEL A
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �tc" _
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow James Crider
TITLE Chief Administration `\�
CONTROL NO. 101685 CLERK-TREASURER