32254 Crew Car WashCi
of 'Carmel
ONE CIVIC SQUARE .I
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
32254
THIS NUMBER MUST APPEAR ON INVOICES, AP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REOUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
12/1512014
Craw Car Wash
VENDOR
10251 N. Hague Road
Indianapolis, IN 48258
SHIP
TO
Cannel Police Department
3 Civic Square
Cannel, IN 46032
(317) 5712559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
Account 43.511,00
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
10 Each car wash tickets
Send Invoice To:.
Carmel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032-
PLEASE INVOICE IN DUPLICATE
$31.25
Sub Total:
$312.50
$312.50
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
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.
- DOCUMENT CONTROL NO. 32254
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
$312.50
• 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 N UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFJt TO PAY FOR THE ABOVE ORDER.