26056 Hubler Express Collision City of 'Carm el CERTIFICATE NO. 003120155 002 0 PAGE
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AIP
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
211/2012
Hublor Express Collision Cannel Police Department
VENDOR
SHIP 3 Civic Square
503 Wost Cannel Drive TQ rm
Carmel, IN 48032
Cannel„ IN 48032' (317) 571 4559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION 1 UNIT PRICE EXTENSION
Account 43.510.00
1 Each repairs to vehicle $648.80 $646.80
Sub Total: $646.80
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Sena RVoicee fo r 131 L. Collins
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Carmel Police Department 1
Attn: Torosa Anderson
3 Civic Square
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. ,ci PAYMENT 1848.80
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS TH PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 HEREBY CER HAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPR N BUFF! NT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Ng of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT OFFICE COPY
NT THERETO.
DOCUMENT CONTROL NO. 26056
CLERK-TREASURER COPY