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l ®f Carmel CERTI 7ICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 257
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-25M 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
5/1/2013 '
•
Crown Trophy Carmel Police Department
SHIP
VENDOR TO 3 Civic Squalls
S07 West Caren I Dave Camel, IN 8132
CEIMIQI, IN Ism 317)S71 2
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42301.00 •
1 Each parking permits $777.50 $777.50
Sub.Total: $777.50
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Send Invoice To: '-'.41,410r ' ' --[3-9 ' . fir •
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Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 432- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT '
Carmel Police Dept. L� PAYMENT $777.50
• 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 HERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION FFICIENT 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 r11a @¢ponce
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Sl_ 1• 2 5 7 2 3 CLERK-TREASURER .
* :DO.CUMENT CONTROL NO. OFFICE COPY