32272 Abra HE CarmelCity 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
32272
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
12/22/2014
Abm HE Cannel
VENDOR
503 West Carmel Drive
Cannel„ IN 48032
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 43.610.00
1 Each windshield repair
Car 153
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Carmel, IN 48032- •
DEPARTMENT ACCOUNT
$239.87
Sub Total:
PLEASE INVOICE IN DUPLICATE
$239.87
$239.87
Cannel Police Dept.
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.
AMOUNT
PAYMENT $239.87
• 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 THAT T ER IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SU NT TO PAY FO THE ABOVE ORDER.
ORDERED BY
TITLE *Ye of Police
CLERK - TREASURER
DOCUMENT CONTROL NO. 322 72 OFFICE COPY