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LL II t\ sane l CERTIFICATE.NO. 003120155 002 0 PURCHASE ORDER NUMBER
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35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA46032 -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
12/20/2011
Tom O'Brien CDJR North Cannel Police Department
VENDOR SHIP 3 CIVIC Square
4830 E. 98th Street TO Cannel, IN 48032
Indianapolis, IN 48240 (317) 5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Account 44450.01
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1 Each Dodge Grand Caravan $10,883.80 $10,663.80
Sub Total: $10,883.80
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Send Invoice To. S
Carmel Police Department
Attn: Teresa Anderson
3 CivIc Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. r �L3 PAYMENT $10,683.80.
v A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
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 THERE IS AN UNOBLIGATED BALANCEIN
THIS APPROPRI T SUFFICIENT TO 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. Chief of Police Nr`
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I
2 5 9 3 7 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY