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HomeMy WebLinkAbout25432 RH Cowan CA INDIANA RETAIL TAX EXEMPT PAGE \\\/// 1 ®� Carmel rmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER w FEDERAL EXCISE TAX EXEMPT 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AP 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 10/312013 RH Cowan Cannel Police Department VENDOR • SHIP 3 Civic Square TO 5857 Churchman Avenue Cannel, IN 46032 Indianapolis, IN 49203 (317)5712559 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION • Account 43600.00 I Eat repairs to brake lathe $339.23 $339.23 Sub Total: $339.23 ff�y lrll�f_ 074o! •2Q %. ` * ° ��► 2 At Send Invoice To: .�� f»fl000 Cannel Police Department Attn: Teresa Anderson 3 Civic Square Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE • DEPARTMENT , ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Police Dept. ig...63 PAYMENT $339.23 • 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 CE TIRE(THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPR ION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL v/SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. - 254 3 2 . CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY