32456 Abra HECi
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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
rcakSco
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
911012014
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VENDOR, v fnnt fit /ri e
/, j 6`1T1'S
SHIP
TO
Carmel Police Department
3 Civic Square
Cannel, IN 46032
(317) 571 -2559
CONFIRMAnON
BLANKET
%COI71RACT
PAYMENT TERMS
FREIGHT
QUANTITY I UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43510.00
1 Each vehicle repairs
Car 066 Trevor Ronforth
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
—13116:"60—
Sub Total: 8-•
c 'St- \c
DEPARTMENT
Cannel Police Dept.
ACCOUNT
SHIPPING INSTRUCTIONS
PROJECT
PROJECT ACCOUNT
• 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. 32456
ORDERED BY
TITLE
nr •?
CLERK - TREASURER
OFFICE COPY,
aNT
PAYMENT bag -`OO
• 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 . ROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY _CEP T%FY HAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APP Fyerjll � ON SUFFICI 0 PAY FOR THE ABOVE ORDER.