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26096 Genuine Parts QQ..,,�� J,��,e Carmel INDIANA RETAIL TAX EXEMPT PAGE l o 1\ arm CERTIFICATE NO. 003120155 002 0 �wv y y n e 1 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 28098 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 3119/2012 Genuine Auto Panto Carmel Police Department VENDOR SHIP 3 Civic Square 5999 Collection Center Drive TO Carnol, IN 46032 Chicago, IL 0093 (317) 5712559 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-370.00 1 Each alternator $171.11 $171.11 Sub Total: $171.11 k. J P4 I o° car11/L. f�� ,..0. .bf ©9, Send Invoice To: j )j Carmel Police Department Attn: Teresa Anderson 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT 1 PROJECT 1 PROJECT ACCOUNT 1 AMOUNT Cannel Police Dept. G5) PAYMENT $171.11 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 THATTHEREISANUNOBLIGATED BALANCE IN THIS APPROPRIATi •�FFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID O.D COD. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. /Chief of Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. DOCUMENT CONTROL NO. 26096 CLERK-TREASURER COPY