HomeMy WebLinkAbout100679 ABRA AUTO BODY & GLASS ci lCarnriiel
INDIANA RETAIL TAX EXEMPT Page 1 of 1
/ � o-f CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100679
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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 NO. VENDOR NO. DESCRIPTION
8/16/2017 369505
ABRA AUTO BODY&GLASS Carmel Police Department
VENDOR 7225 NORTHLAND DRIVE SUITE 210 SHIP 3 Civic Square
TO
Cannel, IN 46032-
BROOKLYN PARK, MN 55428- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
18175
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-510.00
1 Each windshield $199.13 $199.13
Sub Total $199.13
Send Invoice To:
Cannel Police Department Car 87
Accounts Payable
3 Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT - AMOUNT
PAYMENT $199.13
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 Y �!
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 '~ . i�=''4""10 ;•
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ac\-3
— — -
Jim Barlow
TITLE Chief 4
CONTROL NO. 100679 CLERK-TREASURER