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C i ® II °�}� e� CERTIFICATE NO.003120155 002 0
of C CVL1i Jlli PURCHASE ORDER NUMBER
f, FEDERAL EXCISE TAX EXEMPT
35-60000972 25531
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1131/2013
SIII Estes Chevrolet" Carmel Police Department
VENDOR TOHIP 3 Civic square
4106 West 95th Street Carmel, IN 45032
Indianapolis. IN 4 (317 571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 420.1
1 Each Mee! 9595647 $156.89 $156.89
Sub Total: $156.89
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. _ .„ 40 £
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Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 412= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT $155.:s
• 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 THATThEIEIS AN'CINOBLIGATED 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
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 . TITLE Chia?3Q P'dlice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25631 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY