HomeMy WebLinkAbout32088 Safelite Auto GlassCi
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
32088
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
7/1812014
Safeilte Auto Glass
VENDOR
PO Box 833197
Cincinnati, OH 452833197
SHIP
TO
Cannel Pollee Department
3 Civic Square
Carmel, IN 48032
(317) 571-2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY I UNIT OF MEASURE
DESCRIPTION
Account 43410.00
1 Each Windshield replacement
Car 0148 Gary Bowman
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032-
UNIT PRICE
EXTENSION
PLEASE INVOICE IN DUPLICATE
$252.90 /
Sub Total:
$252.90
$252.90
DEPARTMENT
amlel Police Dept.
ACCOUNT
SHIPPING INSTRUCTIONS
PROJECT
PROJECT ACCOUNT'
• SHIP REPAID.
• CO. D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. t,
DOCUMENT CONTROL NO. 32,088
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
• A/P 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 AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT T ERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIIFd FICIENT TO PAY FOR THE ABOVE ORDER.
AMOUNT
$252.90