25465 Hubler Express CollisionCity 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
26466
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
W412012
Hubler Ettprnss Collision
VENDOR
603 West Carmel Drive
Carmel„ IN
SHIP
TO
Carmel Police Department
3 Civic Square
Cannel, IN 46032
(317) 671
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 41610.00
1 Each repairs to vehicle
car 134 / I<A- Miller
Send Invoice To:
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
CUM!, IN 46032-
PLEASE INVOICE IN DUPLICATE
$2,701.30
Sub Total:
$2,701.30
$2.701.30
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
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.
25465
DOCUMENT CONTROL NO. -
ORDERED BY
AMOUNT
PAYMENT $2,701.30
• 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 CERTIF12THA1THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP.p1ATlof4(SUFFICIENT TO PAY FOR THE,ABOVE ORDER.
TITLE
CLERK- TREASURER
OFFICE COPY
hid o? Police