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0 .M— INDIANA RETAIL TAX EXEMPT PAGE
CitY Of Carmel CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
�a FEDERAL EXCISE TAX EXEMPT 26949
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
12!2012011
Duke's Ultimate Car Wash Cannel Police Department
VENDOR SHIP 3 Civic Square
431 E. Cannel Delve TO Cannel, IN 46032
Carmel, IN 46032 (317) 5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION
Account 43511.00
76 Each car wash tickets $5.30 $403.00
Sub Total: $403.00
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Send Invoice To. v 0
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 45032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. C)3 PAYMENT $403.00
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
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 BALANCE IN
THIS APPROPp.ENTTo. PAY FOR THE ABOVE ORDER
SHIP REPAID.
C.0_D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS IICe
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5949 CLERK- TREASURER
DOCUMENT CONTROL NO. OFFICE COPY