26162 Hubler Express Collision City f a anal CERTIFICA E 0
0 INDIANA NO! 003120155 20 PAGE
JJJ1L111 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 28182
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
5/11/2012
Hubler Express Collision Carmel Police Department
VENDOR SHIP 3 Civic Square
503 West Carmel Dr1Je TO Cannel, IN 46032
Cannel„ IN 46032 (317) 571 -2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43- 510,00
1 Each repairs to vehide 32,062.89 82,062.89
Sub Total: $2,052.89
1 v. Tur
s
iii
car 1021 Hughes r ON G lip
Send Invoice To
Carmel Police Department 10
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
Carmel Police Dept. 06) PAYMENT $2,062.89 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 CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
TILES APPROPRIATION U FICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.0.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY .i
SHIPPING LABELS IOI of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26162 CLERK- TREASURER
26162 OFFICE COPY