25547 Hubler Express Collision C0 I INDIANA RETAIL TAX EXEMPT I PAGE
it Of C a rme I' CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 25547
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
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
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1113012012
Hublor Express Collision Crrnol Poileo Depailment
VENDOR SHIP 3 Chile I guur+a
TO
503 Mat Camiol DrIvo Cmiel, IN 46032
CaImol„ IN 46032 .(317)5792550
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Account UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 434g.71d0.E
9 Each repairs 4o vehicle $483.20 $463.20
r%
Bub Total: $463.20
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9
car 9 381 t. - 0,
Send Invoice To' � !/ .m [
Carmel Police Department
Attn:Tenasi Anderson
3 Chile 8quarra
Car711ol, IN 46032= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $4 •20
• NP 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 HERE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS •
THIS APPROPRIATI N/SUE ICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. ��
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ,!) �VI q p�811�®
SHIPPING LABELS. 11
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 6 1411 Ir
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 5 4 7 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY