25473 Guardian Auto Glass LLCCi
of Carmel.
ONE CIVIC SQUARE
CARMEL, INDIANA A48D32 -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
25473
THIS NUMBER MUST APPEAR 014 INVOICES, AP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
98712012 ,
Guardian Auto Glass LLC
VENDOR
940 N. Shadaland Ave
Indianapolis, IN 45219.4010
SHIP
TO
Cannel Police Department
3 Civic Square
Cannel, IN 46032
(317) 571
COM INMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE 1
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43.610.00
1 Each repair windshield
c
Send Invoice c S. Harris
05«
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
T1
$224.26
Sub Total:
$224.26
$224.26
DEPARTMENT
ACCOUNT
PROJECT
1 PROJECT ACCOUNT
AMOUNT
Cannel Police Dept.
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LAUELS.
• THIS OBOER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25473
DOCUMENT CONTROL NO.
ORDERED RY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
$224.26
• AJP 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 CERTIFY THAT T ER IS AN UNOBLICATED BALANCE IN
THIS APPROPRIATIONSU r NT TO PAY FOR THE ABOVE ORDER.