52368 AUTO OUTFITTERS INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
ity of p e1
J PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 52368
35-60000972
ONE CIVIC SQUARE
CARMEL,!iIMAI'1. .=+50 2-Z{;4 THIS NUMBERMUST APPEAR ON NP
VOUCHER,DELIVERY MEMO,PACKING SL P
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
1/23/2019 01/27/19 1869723t jJ, a Remote Start with Install for Directors Company Vehicle
Auto OutfittersNAD Invenstments LLC ccJJ c�I1101 Administration Office
1240 S 10th Street Noblesville 1411 E. 116th Street
VENDOR IN,46060 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Aftermarket Remote Starter for 2014 Ford Explorer $299.0000 $299.00
GLAccount#1125401-4351000
Send Invoice To:
$299.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• AIP 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE \°:\
CLERK-TREASURER
DOCUMENT CONTROL NO. 52368 VENDOR COPY \ +
V