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25512 Hubler Express Collision it"y INDIANA RETAIL TAX EXEMPT PAGE C ®f C°,�rme 1 CERTIFICATE NO.003120155 002 0 lvs PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 25592 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2554 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 10631/2012 bublorExpress Collision C 1rmcI Pollee Department VENDOR - SHIP 3 Civic 8qua r 503 Wogt Carnal Drive TO Cannel, IN 46032 Cannel„ IN 46032 (317)571 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43610.00 • 1 Each repairs to vehicle $884.54 $684.54 Sub Total: $684.54 — .,,___ stor- c ,- -- oF 84-- -,.°'' ,.. di • :� -4• 1'4 V a Al • ,i , , *,. \\ s„.,.,, „,,,,,. ..,,,,,„ „13,1, ,, ...,,,, ' . ,,,.... , .,,14-4,, ,.,,,i, .: --:-...y 00' ,....„4?,,j,-.... ....• -\ 47 '100A,T,,9 ,,"... - ,..„.-. 4 4 SY car 190IMcInt Send Invoice To: r1M — --- Cannel Pollee Department Attn: `>erega Anderson 3 Civic Square Cannel, IN PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Police Dept. _6 PAYMENT $684.5 r • 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. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY ATTHERE IS AN UNOBLIGATED BALANCE IN THIS APPROPR 110 FFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE lef of'f Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 25512 CLERK-TREASURER , DOCUMENT CONTROL NO. OFFICE COPY