HomeMy WebLinkAbout27930 Hubler Express Collision C A i INDIANA RETAIL TAX EXEMPT PAGE
ity 6 f .I rme CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMELY, 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
X11
Hubler Express Collision Cannel Police Department
VENDOR
SHIP 3 Civic Squ
503 West Carmel Drive TO Cannel, IN 46032
Carmel„ IN 46032 (397)671-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 4310.00
1 Each repairs to vehicle $3,182.42 $3,182.42
Sub Total $3,18242
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Send Invoice To: �f
Carmel Police Department i
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Attn: Teresa Anderson
3 Civic Square :1'
Cannel, IN 46032= PLEASE INVOICE IN DUPLICATE
DEPARTMENT "ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. c. S PAYMENT $3,182.42
A/P 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 AFFIDAVIT ATTACHED.
SHIPPING •INSTRUCTIONS I HEREBY CERTIFY TH °T T�ERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT e S FFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. f
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. i rof of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE V
I AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
27 9 3O
DOCUMENT CONTROL NO CLERK TREASURER
OFFICE COPY