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City of
CarmeCERTIFICATE
NO.003120155 002 0 PURCHASE ORDER NUMBER I
FEDERAL EXCISE TAX EXEMPT 100335
ONE CIVIC SQUARE I 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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 N0. VENDOR NO. DESCRIPTION
4/3/2017 367104
ABRA HE CARMEL Carmel Police Department
VENDOR 503 W CARMEL DRIVE SHIP 3 Civic Square
TO Carmel,IN 46032-
CARMEL,IN 46032- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
14166
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department., 1110 Fund: 101 General Fund
Account: 43-510.00
1 Each vehicle repair $2,167.34 $2,167.34
Sub Total $2,167.34
Send Invoice To:
Police Department Car 74-Smith
Accounts Payable
3 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $2,167.34
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. 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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY - -
Tim Green
TITLE Chief of Police
CONTROL NO. 100335 CLERK-TREASURER