31962 Genuine Auto Parts - CANCELLED I
�y INDIANA RETAIL TAX EXEMPT
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City ®f 211 1C Y� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
Y FEDERAL EXCISE TAX EXEMPT 31962
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES.NP
I 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
4/17/2014
Genuine Auto Parts Cannel Police Department
VENDOR SHIP 3 Civic Square
5959 Collection Center Drive TO Cannel, IN 48032
Chicago, IL 60693 (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-321.00
•
1 Each Oil Pump Pick-Up $319.62 $319.82
Sub Total: $319.82
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•Send Invoice To: %L4 �" °". ��
Cannel Police Department .
Attn: Pat Young
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. �« PAYMENT $319.62
• 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 TH.PFIOPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTI + ,T THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. THIS APPROP SUFFICIE 0 PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. I
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 1• I 1
SHIPPING LABELS. ' lef of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. • I
DOCUMENT CONTROL NO. 31962 CLER FILE COPY