25516 Mike's Car Wash INDIANA RETAIL TAX EXEMPT PAGE
City of f ,'.1 rmel CERTIFICATE NO.003120155 002 0
�i 1a PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 25596
. 35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 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
99/9212092
MIke's Car Wash Carmel Police Department
SHIP 3 Civic Square
VENDOR
TO
- 10251 N. Hague Road Cannel, IN
Indianapolis, IN 46256 (317)5712550
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43111.00
47 Each car wash tickets $8.40 $300.80
Sub Total: $300.80
4a �
(7''' :: ,
P4 'w.' ' ..id fib.. } �°
-
" -0,
Send Invoice To: >.
�' }
`'-Cauir1nel i�olice Department ' -- ' .
Attn:Teresa Anderson
3 Civic Squaws
Cannel, IN 46032.. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT $308.•I
• 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 THAT VERErIS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFIC ENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. /�p
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE let o1 Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25516.
CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY