26212 Pearson FordCity of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
26212
THIS NUMBER MUST APPEAR ON INVOICES, AP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DAVE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
712542012
Pearson Ford, Inc.
VENDOR
10860 North Michigan Road
Zionsville, IN 46077
SHIP
TO
Cannel Police Department
3 Civic Square
Cannel, IN 48032
(317) 571.2559
CONFIB1ATION BLANKET
OUANTITY
CONTRACT
PAYMENT TERMS
FREIGHT
IUNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43410.00
1 Each repairs to vehicle
C b21
Send Invoice To:
Carmel Police Department.
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$1,706.93 $1,706.93
Sub Total: $1,706.93
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT 1 AMOUNT
Cannel Police Dept,
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT' BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•.THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER FP, ACTS 1945
• AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26212
PAYMENT
• AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• 1 HEREBY CERTIFY "
[Y H I' THERE IS AN UNOSL1GATED BALANCE IN
THIS APPROPI{w1 - UFFICIENT eIC/ FOR THE ABOVE ORDER.
$1,706.93
ORDERED BY ,
TITLE
CLERK - TREASURER
OFFICE COPY
lef of Police