26235 Hubler Express Collision•
City of .w Cannel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2564
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
24225
THIS NUMBER MUST APPEAR ON INVOICES, AP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
•REQUISITION NO.
VENDOR NO.
DESCRIPTION
811712012
Hublar Express Collision
VENDOR
503 West Camel Drive
Carmel„ IN 48032
SHIP
TO
Cannel Police Department
3 Civic Square
Carmel, IN 48032
(347) 571 -2554
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY 1 UNIT OF MEASURE
DESCRIPTION
UNIT PRIDE
EXTENSION
Account 434510.00
1 Each repairs to vehide
Send Inv0F frP /ANarez
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48032-
PLEASE INVOICE IN DUPLICATE
$2,824.55
Sub Total:
$2;824.55
• 32,824.55
DEPARTMENT
Cannel Police Dept.
ACCOUNT
SHIPPING INSTRUCTIONS
PROJECT
PROJECT ACCOUNT
AMOUNT
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPI.ANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF ANC SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26235
ORDERED BY
TITLE
CLERK- TREASURER
OFFICE COPY
PAYMENT 82,82445
• PP 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.
• I HEREBY CERTIFY THAT THERE I5 AN UNOBLIGATED VALANCE IN
THIS APPROPRI/T,4ply $ DEFICIENT TO PAY FOR THE ABOVE ORDER.
Chief of Police