26234 Hubler Express Collisionr
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -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
28234
THIS NUMBER MUST APPEAR ON INVOICE.$, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
1 DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
81172012
Hubler Express Collision
VENDOR
503 West Cannel Drive
Cannel„ IN 48032
SHIP
TO
Carmel Police Department
3 Civic Bquare
Cannel, IN 48032
(317) 571 -2558
coNFIFMIATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE 1
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43.510.00
1 Each repairs to vehide
Send Invoice jr 113 / Flaming
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48032-
PLEASE INVOICE IN DUPLICATE
8488.20
Sub Total:
$488.20
$488.20
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Carmel Police Dept.
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. •
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER. N. ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26234
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT $498.20
• PIP VOUCHER CANNOT BE APPROVED FOP PAYMENT UNLESS THE P.O.
NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HA5 TI 7F PROPER SWORN AFFIDAVIT ATTACHED.
HEREBY CERTIFY T TAI ERE IS AN UNOBLIGATED BALANCE IN
' THIS APPROP 9 FICIENT TO PAY FOR THE PROVE ORDER.