32052 Bill Estes Chevrolet i t ®f C�i�eJ INDIANA RETAIL TAX EXEMPT 155 00 PAGE
Jill l,0/ CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32052 -
35-60000972
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 .
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
•
8/1312014
•
Sill Gates Chevrolet Carmel Police Department •
VENDOR SHIP 3 Civic Square
4105 West 18th Street TO Cannel, IN 48032
Indianapolis, IN 46216 • (317)8712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 43.510.00
1 Each repairs to vehicle $785.81 $785.81
Sub Total: $785.81
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end Invoice TJ --.0" _ 91�/�'"1����
Cannel Police Department
• Attn: Pat Young
3 Civic Square
•
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT ' AMOUNT
Cannel Police Dept. I PAYMENT $765.81
• 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 • L,EREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
• SHIP REPAID.
T H IS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. A.�
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BC.", £' .t A v'v•
SHIPPING ISSUED RDER U. p4,\.. Chief of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE \
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.AND
• s 1
32052 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY