26201 Hubler Express Collisionhf Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002'0
FEDERAL EXCISE TAX EXEMPT
35- 60000972 •
PAGE
PURCHASE ORDER NUMBER
28201
THIS NUMBER MUST APPEAR 011 INVOICES, AR'
VOUCHER, DELIVERY MEMO. PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO
VENDOR NO.
- DESCRIPTION
612512012
Hub ler Express Collision
VENDOR
503 West Carmel Drive
Carmai„ IN 48032
SHIP
TO
Carmel Police Department
3 Civic Square
Carnal, IN 48032
(317) 571.2550
CONFIRMATION
BLANKET' CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE I
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43.510,00
1 Each repairs to vehicle
car 43 / Robbins
Send Invoice 10:
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032-
PLEASE INVOICE IN DUPLICATE
81.388.37
Sub Total:
$1.388.37
$1,388.37
DEPARTMENT
ACCOUNT
C-3
PROJECT
1 PROJECT ACCOUNT
AMOUNT
$1,36t37
Carmel Police Dept.
SHIPPING INSTRUCTIONS
• SNIP REPAID_
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS,
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1995
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26201
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
• ALP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE ILO,
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CER1IPY THAT ERE IS AN UNCBLIGATED BALANCE IN
THIS APPROPRIATJOf / FICIENT TO PAY PC ABOVE ORDER.
Cfblof of Police