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1 City t 1 4 ;C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 27931
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD I OF ACCOUNTS FOR CITY OF CARMEL 1997
I
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9/2612011
Hubler Express Collision Carmel Police Depirrment
I VENDOR
SHIP 3 Civic Squaera 1 503 West Carmel Drive TO Cannel, IN 48032
Carmel;, IN 46032 (317) 571
CONFIRMATION BLANKET CONT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43490,E ,e
Y
1 Each repairs to vehide $595.85 $595.85
Sub Total: $595.85
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s, 75' 0., iS
car 98 Snova
Send Invoice To:
Carmel Pollee Department
Attn: Teresa Anderson
3 Civic Swaim
Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. C. PAYMENT $595.85
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.
1 H EREBY CERTIFY
SHIPPING INSTRUCTIONS i THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP O UFFICIE TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. Ielf H o1
Pollee
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
I CLERK- TREASURER
l D OCUMENT CONTROL NO. 7 OFFICE COPY