26129 Hubler Express Collision G e INDIANA RETAIL TAX EXEMPT PAGE
1 1 of C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
�1•� FEDERAL EXCISE TAX EXEMPT
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
411012012
Hu61er Express Collision ?Carmel Police Department
VENDOR SHIP Civic Square
TO
503 West Carmel Drive Cannel, IN 46032
Cannel„ IN 46032- (317) 571 -2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 Each repairs to vehicle $1,693.88 31,693.88
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Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
armal IN 46031- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 1 PROJECT ACCOUNT AMOUNT
y (4�,�1 PAYMENT cc,�,,
Cannel Police Dept. 43-5104 NP VOUCHER CANNOT BE APPROVED FOR PAYMBW.T W6. 5110W).
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIF) irAT THERE IS AN UNOBLIGATE BALANCE IN
THIS APPROP• 'N SUFFICIENT TII PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY A l
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE Polito
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 CLERK- TREASURER
DOCUMENT CONTROL NO OFFICE COPY