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Cit ®f Carmel. i CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100836
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
10123/2017 369505
ABRA AUTO BODY&GLASS Carmel Police Department
3 Civic Square
VENDOR 7225 NORTHLAND DRIVE SUITE 210 SHIPTO
Carmel,IN 46032-
BROOKLYN PARK, MN 55428- Blaine Mallaber
PURCHASE ID 1 BLANKET CONTRACT 1 PAYMENT TERMS FREIGHT
20066 1 1 I
QUANTITY + UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-510.00
1 Each windshield $531.21 $531.21
Sub Total $531.21
Send Invoice To:
Carmel Police Department Car 2
Accounts Payable
3 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT -L PROJECT V PROJECT ACCOUNT AMOUNT
PAYMENT $531.21
*NP 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 t /9/7 -' 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jeffrey Homer D
TITLE Deputy Chief
CONTROL NO. 100836 CLERK-TREASURER