HomeMy WebLinkAbout27950 Hubler Express Collision City G f Car INDIANA RETAIL TAX EXEMPT PAGE
1 CERTIFICATE NO. O. 003120155 155 00 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 77950
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 OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/212011
Hubier Express Collision Cannel Police Department
VENDOR SHIP 3 Civic Square
503 West Cannel Drive TO Cannel, IN 45032
Cannel„ IN 48032 (317) 5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
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Account 43-510.00 9
1 Each repairs to vehide $145.80 $145.80
Sub Total: $145.80
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Send Inv to Lerman /-'0 j
Cannel Police Department J1 1
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. 1 (r1' /PAYME S 145 80
VOUC HER 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 C THAT THERE IS AN UNOBLIGATED BALANCE IN
T HIS APP ION SU ICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
CO.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 279 CLERK-TREASURER
OFFICE COPY 50 C
CO