101768 BILL ESTES CHEVROLET ETAIL
EXEMPT Page 1 of
Citof �/ JL arm 1 CERTDIIFICATE NO. 002 0 URCHASE ORDER1NUMBER
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FEDERAL EXCISE TAX EXEMPT 101768
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/9/2018 025950
BILL ESTES CHEVROLET Hamilton/Boone Co. Drug TF
VENDOR 4105 W 96TH ST SHIP 3 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46268-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
27340
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 911 Fund: 911 Law Enforcement Aid Fund
Account: 43-510.00
1 Each- Door Panel $404.74 $404.74
Sub Total $404.74
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Send Invoice To:
Hamilton/Boone Co. Drug TF
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3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT V ACCOUNT PROJECT V PROJECT ACCOUNT V AMOUNT
PAYMENT $404.74
SHIPPING INSTRUCTIONS 'A/13VOUCHER 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
SHIP PREPAID. 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.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 :)‘71Q
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Dwight Frost \
TITLE Major
CONTROL NO. 1 01 768 CLERK-TREASURER