32066 Abra HEof Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL'TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER /.JJ if
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
6P23/2014
Abp Camel
VENDOR
Writ Can11101 Drive
Camiol„ IN 48032
SHIP
TO
Carmel Police Department
3 Civic Square
Cannel, IN 46032
(317) 571
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43510.00
1 Each vehide repairs
0155 pool vehicle.
Send Invoice To:
Carmel Police Department
Attn: Pat Young
3 Chile 6quana
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$846.40
Sub Total:
$846.40
$846.40
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
Carmel Police Dept.
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 32066
ORDERED BY
TITLE
PAYMENT
• 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.
• I HEREBY CERTIFY THAT ' HERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIA o < • FFICIENT TO PAY FOR THE ABOVE ORDER.
AMOUNT
.40
Oi F • 't}
CLERK - TREASURER
OFFICE COPY
of of Police