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25464 Hubler Express CollisionCi 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 25464 THIS NUMBER MUST APPEAR ON INVOICES, 'A/P VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION IIf412012 bubler Eftpr ep Cblligi©ri VENDOR 503West Calrmel Drive C21971e1„ IN 46032 SHIP' TO Camel Polies Deparby.tent 3 Civic Square Carmel, IN 46032 (317) 571 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Aceourt 43 510.00 1 Each repairs to vehide Send tAr invoice"f0 her Cannel Police Department Attn: TOIVS2 Anderson 3 Civic Square Carmel, IN 46032= PLEASE INVOICE IN DUPLICATE $238.40 $238.40 Sub Total: $238.40 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 99, ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 25464 DOCUMENT CONTROL NO. ORDERED BY TITLE CLERK - TREASURER OFFICE COPY PAYMENT x:40 • 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. • I HEREBY CE T)1�TIiAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATI1 N SUFFICIENLTO PAY FOR THE ABOVE ORDER. Chief of Pollco