32443 T3 MotionCCity.. 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
32443
THIS NUMBER MUST APPEAR ON INVOICES, MP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
Q/2/2014
is Motion, Inc.
VENDOR
2990 Airway Avenue
Costa Men, CA 92828
SHIP
TO
Cannel Police Department
3 Civic Square
Cannel, IN 48032
(317) 571 -2559
CONFIRMATION
BLANKET
CONTRACT PAYMENT TERMS
FREIGHT
OUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42-320.00
1 Each front tire
Send Invoice To:
Carmel Police Department
Attn: Pat Young
3 Civic Square
Cannel IN 48032-
PLEASE INVOICE IN DUPLICATE
$144.38
Sub Total:
$144.38
$144.38
DEPARTMENT
Cannel Police Dept.
ACCOUNT
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
..I
DOCUMENT CONTROL NO. 32443
PROJECT
ORDERED BY
TITLE
PROJECT ACCOUNT
AMOUNT
PAYMENT $144.38
• 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 THE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION . • TENT TO PAY FOR THE ABOVE ORDER.
CLERK - TREASURER
OFFICE COPY