101911 BILL ESTES CHEVROLET ' o INDIANA RETAIL TAX EXEMPT Page 1 of 1 City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101911
ONE CIVIC SQUARE 35-6000972 :. THIS NUMBER MUST APPEAR ON INVOICES,AR
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION C (\r48/31/2018 025950 `
BILL ESTES CHEVROLET Carmel Police Department
VENDOR 4105 W 96TH ST : SHIP 3 Civic Square
TO. Carmel, IN 46032-
.
INDIANAPOLIS, IN 46268 Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS "I FREIGHT
28988
QUANTITY . UNIT OF MEASURE: : DESCRIPTION UNIT PRICE EXTENSION
Department 1110 Fund 101 General Fund
Account: 42-370.00
1: Each. : door panel : $445.21 $445.21
Sub Total . . .$445.21
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Send Invoice To: `.. f ,1 ,7, 1,„;: 4-41-(4,
Carmel Police Departmentcar 111 J
Accounts Payable
3 Civic Square 1 A • "' �.:.
Carmel, IN 46032- - ` .;. �VA.,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT . . . $445.21
SHIPPING INSTRUCTIONS '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
*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 a, � .W
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 l` "
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
TITLE . Chief .
CONTROL NO. 101911 CLERK-TREASURER