HomeMy WebLinkAbout32768 Abra HEof 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
PtdQ•Q SE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
P L -16,,5 ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
A. NE Lanrloi
aarmoi Poiice LDradaarrmer
VENDOFB03 Wgt CarffIGI Di1YQ
• Carmel„ IN 46032
SHIP
TO
3 Civic Squalls
Carmel, IN 46032
(317) 5712556
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
Account 43410.00
1 Each vehicle repairs
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Car 010 Mikel Leach
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032=
PLEASE INVOICE IN DUPLICATE
$4,133.28
Sub Total:
$4,133.28
$4,133.28
Camel PRIWhi.
ACCOUNT
PROJECT
PROJECT ACCOUNT
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 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 32768
ORDERED BY
TITLE
CLERK - TREASURER,
OFFICE COPY
lage
NT
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 TylERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION PFICIENT TO PAY FOR THE ABOVE ORDER.
Id of Police