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City o f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 00438
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO.PACKING SLIPS,
I SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
rPURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/11/2017 367104
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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 1 BLANKET CONTRACT PAYMENT TERMS FREIGHT
15288 1
I 1
j QUANTITY 1 UNIT OF MEASUREL DESCRIPTION UNIT PRICE i EXTENSION J
Department: 1110 Fund: 101 General Fund
Account: 43-510.00
1 Each vehicle repair $4,294.62 $4,294.62
Sub Total $4,294.62
Send Invoice To:
Carmel Police Department Troyer
Accounts Payable
3 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
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DEPARTMENT G ACCOUNT A PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $4,294.62
SHIPPING INSTRUCTIONS 'NP 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
'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 �7.7.
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 '' -✓ , `
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY J �1
Tim Green \C.\
TITLE Chief of Police ‘, /
CONTROL NO. 100438 CLERK-TREASURER