102001 TOM WOOD FORD INC OINDIANA RETAIL TAX EXEMPT Page 1 of 1
Jl �ll37 ®f CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
cI1air]r1r1Ie1/ FEDERAL EXCISE TAX EXEMPT 102001
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
10/12/2018 305700 Repalce Moriarty Vehicle
TOM WOOD FORD INC Fire Department
VENDOR 9820 ASSOCIATION CT SHIP 2 Civic Square
TO Carmel, IN 46032-
INDPLS, IN 46280-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30049
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-650.01
1 Each 2018 Ford Explorer XLT with Equipment Group 200A-Quote $29,566.59 $29,566.59
ID CFDXLTEXPL
Sub Total $29,566.59
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Send Invoice To: .
Fire Department ,
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2 Civic Square ,, , Z ; ,
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 1 PROJECT ACCOUNT AMOUNT
PAYMENT $29,566.59
SHIPPING INSTRUCTIONS 'A!P 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.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL /f
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ORDERED BY v
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ���
Denise Snyder James Crider
TITLE Budget&Accreditation Manager Administration
CONTROL NO. 102001 CLERK-TREASURER `Q