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101487 HOLLYWOOD BUMP & GRIND 1 INDIANA RETAIL TAX EXEMPT Page 1 of 1 Citof I1arrnie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 101487 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 I_ PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 311312018 372102 HOLLYWOODS BUMP&GRIND Carmel Police Department VENDOR 10550 JESSUP BLVD SHIP 3 Civic Square TO Carmel, IN 46032- 1 I INDIANAPOLIS, IN 46280- Blaine Mallaber PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 24131 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1110 Fund: 101 General Fund Account: 43-510.00 1 Each Auto Repairs $2,166.80 $2,166.80 Sub Total $2,166.80 Fi I a � �a z. Send Invoice To: -° Carmel Police Department '''car 98 Pitman Accounts Payable /,.".. 3 Civic Square Carmel, IN 46032- ° PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT N PROJECT PROJECT ACCOUNT AMOUNT J PAYMENT $2,166.80 SHIPPING INSTRUCTIONS *NP 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 *SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN *C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. 'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL ^" �c THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 `j \ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Jim Barlow i) ricc TITLE Chief CONTROL NO. 101487 CLERK-TREASURER