26148 Overhead Door Company IC �1�
tlI� ®1' armel CERTIFICATE NO. 03120155 0 2 0 PAGE INDIANA RETAIL TAX EXEMPT
�a PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26148
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
4126/2012
Overhead Door Company of Indianapolis, Inc. Carmel Police Department
VENDOR
SHIP 3 Civic Square
P.O. Sox 50648 r° Carmel, IN 46032
Indianapolis, IN 48250 (317) 571.2559
CONRRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE, DESCRIPTION UNIT PRICE EXTENSION
Account 43601.00
1 Each repairs to garage door 3885.00 3885.00
Sub Total: 3885.00 .41 er
Ad
2 A:
Send Invoice To: c
Carmel Police Department l l�
Attn: Temsa Anderson
3 Civic Square
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
Carmel Police Dept. PAYMENT 3885.00
AP 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 THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.0.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY T.
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE hiof of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
26146 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY