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C CERTIFICATE NO. O. 003120155 155 00 002 0
PURCHASE ORDER NUMBER
1
FEDERAL EXCISE TAX EXEMPT
35- 60000972 25898
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
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
11/1512011
TBA North Canal Police Department
VENDOR SHIP 3 Civic Square
TO
309 Cradle Drive Cannel, IN 48032
Cannel, IN 48032 (317) 571 -2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-370.00
4 Each rotors D80 18A2322 $48.50 $194.00
4 Each brake pads RAF ATD1159P $40.70 $182.80
Sub Total: 8358.80
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t Send Invoice To:
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Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT I AMOUNT
Cannel Police Dept. 1 Cannel PAYMENT $358.80
NP 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 THAT THEN AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIO TTO PAY FOR THE ABOVE ORDER..
SHIP REPAID.
C.O.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 le/ of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. OFFIL
DOCUMENT CONTROL 140. 25898 c F CO PER
ICE COPY