32089 Abra HECity ®C- 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
320
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
7/1712014
Abra HE Cannel
VENDOR
503 West Cannel Drive
Cannel„ IN 46032
SHIP
TO
Cannel Police Department
3 Civic Square
Cannel, IN 48032
(317) 571-2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE I
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43.610.00
i Each vehicle repairs
Car C42 Rob White
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$4,011.19
Sub Total:
$4,011.19
$4,011.19
DEPARTMENT
ACCOUNT
PROJECT
Cannel 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.
1,
DOCUMENT CONTROL NO. 32089
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PROJECT ACCOUNT
'AMOUNT
PAYMENT $4,011.19
• AIP 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 fj HERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPF IA'fIOJI FFICIENT TO PAY FOR THE ABOVE'ORDER.