32084 Safelite Auto GlassCi
of 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
32084
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
711412014
Safolito Auto Ginn
VENDOR
PO Box 833197
Cincinnati, OH 45263-3197
SHIP
TO
Cannel Police Department
3 Civic Square
Carmel, IN 48032
(317) 571-2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE •
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43. 510.00
1 Each %Mndshield replacement
ttend11031 CDe IC ap
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$27338
Sub Total:
$273.78
$273.78 .
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
Carmel Police Dept.
aLg
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• COD. 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. 32084
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
AMOUNT
$273.78
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIONS , CIENT TO PAY FOR THE ABOVE ORDER.
Chief of,Police