25541 Hubler-Express Collision City ®1f Carniiejl DIANA RETAIL TAX EXEPAGE 11 CERTIFICATE NO.003120155
002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
ONE CIVIC SQUARE 35-60000972 29
CARMEL, INDIANA 4662-2584 THIS NUMBER MUST APPEAR ON INVOICES,A/P
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO.
VENDOR NO. DESCRIPTION
99$2092
•
•
I
Hublor Suprema Collision
Calmol Police Department
VENDOR SHIP
3 Civic Squ
TO
603 WM Calmat Drives
C Iii„ IN 4032
Cannot, IN 41032
CONFIRMATION BLANKET CONTRACT (397)599 •-°'°""
FREIGHT
QUANTITY UNIT OF MEASURE
DESCRIPTION ,
Account 43.590,E EXTENSION {
1 Each repairs to vehicle
$743.20 $743.20
Sub Total: $743.20
1,--07•• �� �• �• , .. /. ..
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Sen nvoice To. ~'�/ 6k
Carmel Folic ZL
Police Department
.�►./
Attn: TOME Anderson
3 CIyic Squaw
CauleJ, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ..#--'■;arm! Polio Dept, PROJECT PROJECT ACCOUNT
AMOUNT °I
PAYMENT $743.20
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
•
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
SHIPPING INSTRUCTIONS VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
•SHIP REPAID. • I HEREBY CERTIFY f AdT THERE IS AN UNOBLIGATED BALANCE IN
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. THIS A✓PPR/OP$IATI�N UFFICIENT TO PAY FO T E ROVE ORDER.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY — J
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 / I�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO._ TITLE �I 81 Ponca ii
25541
DOCUMENT CONTROL NO. CLERK-TREASURER COPY .
.
OFFICE