26072 Bill Estes Chevrolet City 1 w INDIANA RETAIL TAX EXEMPT PAGE
\u Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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
2123/2012
Bill Estes Chevrolet Cannel Police Department
VENDOR SHIP 3 Civic Square
4105 West 98th Street TO Carmel, IN 48032
Indianapolis, IN 48288 (317) 571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 42370.00
1 Each throttle body 8205.51 $205.51
Sub Total: 5205.51
it
o 4 NOW
Arlin S
S *0
Send Invoice To:
Carmel Police Department 1
Attn: Teresa Anderson
3 CIWc Square
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I. AMOUNT
Carmel Police Dept. v A C,g PAYMENT $205:51
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 AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS I HEREBY CE IFY HAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID THIS APPR I I N SUFFICI TO PAY FOR THE ABOVE ORDER
C.0.D. SHIPMENTS CANNOT BE ACCEPTED ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS (Chief of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 F TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
26072 CLERK- TREASURER
DOCUMENT CONTROL NO. G OFFICE COPY
1