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City ®f C acme l CERTIFICATE NO.003120155 002 0
\\ //// PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 2
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
1/1012013
Bill Estes Chevrolet Carmel Pollee Department
SHIP
VENDOR TO 3 Civic 9qua
4105- Mast 08th Rivet Cannel, IN 46032
Indianapolis. IN 46266 (3171 671 2659
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 4230.00
2 Each oil cooler line $234.09 $468.18
Sub Total: $488.18
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Send Invoice Tour 1061 Davl `" ;w, ` - -
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Carmel Police Department
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Attn:Teresa Anderson ! ,
3 Civic Stluar
Carrel, IN 46032. PLEASE INVOICE IN DUPLICATE -
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. L.'6 PAYMENT $469°18
• 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 THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION UFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
..---<:-/
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE fett!C?qg Po!leo
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25604 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY