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City o f Carmel CERTIFICATE NO.003120155 002 0
1111 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 26643
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
211012013
Champion Chrysler Jeep Dodge C2r199el Police Department
VENDOR TOIP 3 Civic Swam
4606 W. WO Street Carmel, IN 46032
Indianapolis, IN 46266 (3in)571-2659
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS - FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43510.00 OR.P .l..tC.J
1 Each key fob (replacement) v -29.:T .
Sub Total: "
0-11 _—_ _ 44r..,
4 , .4 ,,,, -.dip,
fro•o• • .. %
A. ,
4 -4_ i * ON
i7 hiI
• 111111‘
**+ •
-19,...,,.. 7/.0.-k"...6.•0,1000
w 132/L. Collins
Send Invoice To:
**Ielier--4117/11( PP
Carmel Police Department
Attn:Teresa Anderson
3 Civic Square
Carmel, IN 46032= PLEASE INVOICE IN DUPLICATE
DEPARTMENT \\ ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. 1 PAYMENT
• 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 AFFIDD�A.IT-ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERT��FjAT THERE ISA,UNOBLIGATED BALANCE IN
THIS APP/,A/Off SUFFICIEN iTO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. R[I/ O
•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 4log of
Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 6 4 3 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY