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26049 Hubler Express Collision City 111111 o C �Y arm II CERTTIFICATE RETAIL TAX EXEMPT NO. 03120155 002 0 PAGE w PURCHASE ORDER NUMBER i FEDERAL EXCISE TAX EXEMPT 26049 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P 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 112712012 Hubler Express Collision Cannel Police Department VENDOR SHIP 3 Civic Square 503 West Cannel Drive TO Cannel, IN 46032 Cannel„ IN 46032 (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 vehicle $1,053.95 $1,053.95 Sub Total: $1,053.95 r v•r Tuk I1 a e a car 9 avlalloy '�j (0� M C Send Invoice o: f+ i ,�1�� Cannel Police Department Attn: Teresa Anderson 3 Civic Square Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Police Dept. 955 PAYMENT $1,053: 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 AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT T sly SANUNOBLIGATED BALANCE IN THIS APPROPRIATIO. 01; I NT TO PAY F•' E ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL I SHIPPING LABELS. Itll J o� Police ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 6 0 4 9 CLERK TREASURER DOCUMENT CONTROL NO. OFFICE COPY