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25892 Hubler Express Collision
C 0 INDIANA RETAIL TAX EXEMPT PAGE ity 01 l\ arm( w l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER �1/ �a FEDERAL EXCISE TAX EXEMPT 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 11/1012011 Hubier Express Collision Carmel Police Department VENDOR *•+1i SHIP 3 CIVIC Square 503 West Carmel Drive TO Cannel, IN 48032 Carmel„ IN 48032 (317) 571.2559 CONRRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43410.00 1 Each repairs to vehicle $3.195.25 $3,195.25 Sub Total: $3,195.25 of ©Q oi lrillk t 9/A n 4 -.1111111.: ill Send Invoice To: car 1281 Graham p Cannel Police Department Attn: Teresa Anderson 3 Civic Square Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. �c:_� PAYMENT $3,195.25 NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.C. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATTHE9�1E IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATIONQIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. 1 C.0.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. lot I O� Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. C 89 n CL ERK TREASURER DOCUMENT CONTROL NO. J v J OFFICE COPY