102309 ABRA AUTO BODY & GLASS City
INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cof Iiariirie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102309
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/1112018 369505
ABRA AUTO BODY&GLASS Dept of Community Service
VENDOR 7225 NORTHLAND DRIVE SUITE 210 SHIP :1 Civic Square
TO Carmel, IN 46032-
BROOKLYN PARK, MN 55428-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT.
31943
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE -EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-510.00
1 Each Auto Repair $2,096.89 $2,096.89
Sub Total $2,096.89
t �
Send Invoice To:
Dept of Community Service .
1 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $2,096.89
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 �o � 4J
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh
TITLE Director
CONTROL NO. 102309 CLERK-TREASURER V \i