26238 Hubler Express Collisionof 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. 0031201 55 092 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
26238
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER. DELIVERY MEMO, PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REOUIREC
REQUISITION N0.
VENDOR NO.
DESCRIPTION
8121/2012
Hubler Express Collision
VENDOR
503 West Carmel Drive
Carmel„ IN 46032
SHIP
TO
Cannel Police Department
3 Civic Square
Carmel, IN 48032
(317) 571 -2559
CDTFIRMATION
' BLANKET
CONTRACT
•PAYMENT'TERMS
FREIGHT
QUANTITY _ I UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43.510.00
1 Each repairs 10 vehicle'
Send Invoice To:Cer 70 / Cash
Carpel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48032-
PLEASE INVOICE IN DUPLICATE
$870.48
Sub Total:
1870.46
$870.46
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT 1
AMOUNT
Cannel Police Dept.
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT DE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945
' AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 262-38
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
$870.46
• NP VOUCHER CANNOT HE APPROVED FOR PAYMENT UNLESS THE PO. '
NUMBER 15 MADE A PART OF THE VOUCHER .AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
I HEREBY CERTIFY T HERE IS AN LINOS GATED BALANCE IN
THISAPPROPRIAT t .+ FFICIENTTQSNS�OR THE ABOVE ORDER.
of of Police