25905 Hubler Express Collision City r 11 0 o Carmel l INDIANA RETAIL TAX EXEMPT
PAGE
CERTIFICATE NO. O. 003120155 155 00 002 OY PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 25905
35- 60000972
ONE CIVIC SQUARE 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
1211!2011
Huble
r Express Collision Camel Police Department
VENDOR Y SHIP 3 Civic Square
503 VYo Drive TO Carmel, IN 48032
Carmel„ IN 48032 (317) 571 -2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-510.00
1 Each repairs to vehide $2,326.38 32,326.38
Sub Total: $2,326.38
1' k� A.
i ,t4, -1: ii
O 0
t
car 26 Leach C�0 1
Send Invoice To: jl
Carmel Police Department
Attn: Teresa Anderson
■i
3 Civic Square t)
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE I
DEPARTMENT ACCOUNT I PROJECT 1 PROJECT ACCOUNT 1 AMOUNT
Carmel Police De PAYMENT 7 32
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
it
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER .SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY TH THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP: 0 <UFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.0 D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. y le J of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 9 0 5 C TREASURER
DOCUMENT CONTROL NO. OFFICE COPY