26138 Hubler Express Collision 0 or ,.v arme I' 1'1 INDIANA RETAIL TAX EXEMPT
PAGE
CERTIFICATE NO. O. 003120155 155 00 00
City I'� 2 0 PtLRC}�p,4E ORDER NUMBER
Gtll:itl
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AtP
CARMEL INDIANA 46032 -2564 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PU DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Hubler Express Collision 'Carmel vofrce uepartment
3 Civic Square
SH
VENDOFO3 Wag Cannel Drive TO I P Carmel, IN 46032
Carmel„ IN 46032 (317) 5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY II UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Account 4:1•6
1 Each repairs to vehide 31,920.99 31,920.99
Sub Total: $1,920.99
A
Li
car 99 /O'Brian S M
Send Invoice To we- -1
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
Canoe' ACCOUNT PROJECT PROJECT ACCOUNT $1 A'B,MOgNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 FIREBY CERTIFY THAT THERE 15 AN UNOBLIGATEO BALANCE
THI PPROPRIATION SUFFICIEN 0 PAY ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL \I S Chief of Pollee.
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
w C LERK TREASURER »'d v
DOCUMENT CONTROL NO. 2 6 s 3 8 OFFICE COPY