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I of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
Jl FEDERAL EXCISE TAX EXEMPT 103149
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
10/10/2019 369505
ABRA AUTO BODY&GLASS Carmel Police Department
VENDOR 7225 NORTHLAND DRIVE SUITE 210 SHIP 3 Civic Square
TO Carmel, IN 46032-
BROOKLYN PARK, MN 55428- Blaine Malla er
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS 11 FREIGHT
40535
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-510.00
1 Each windshield $379.68 $379.68
Sub Total $379.68
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Carmel Police Department x `Car 83 a
Accounts Payable
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3 Civic Square
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PLEASE INVOICE IN DUPLICATE •
DEPARTMENT 1-- ACCOUNT 1 PROJECT -I PROJECT ACCOUNT ' I AMOUNT
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PAYMENT $379.68
SHIPPING INSTRUCTIONS *AIP 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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 i
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY -
Jim Barlow
TITLE Chief
CONTROL NO. 103149 CLERK-TREASURER \lc)