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C o ` Carmel CERTIFICATE NO.003120155 002 0
1/ PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2
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
i
1012/2012 1
I
Hub's,&prase Collision Camel Police Department
SHIP 3 Civic 8quar
VENDOR
TO
503 West Carmel Drive CalrmGl, IN 46032
Catmol„ IN 48032 (317)571 ,
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.510.00
1 Each repairs to vehicle $7,225.59 $7,225.59
Sub Total: $7,225.59
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Send Invoice To: `�±% �
Camel Police Department
Attn:Teresa Anderson
3 Civic Square .
Camel, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $7,225.59
• A/P 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 THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �, 1...)
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ` . Chief oP Pollco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25488 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY