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25563 Sunshine Medical Supply, Inc. ity INDIANA RETAIL TAX EXEMPT PAGE ® II �� CERTIFICATE NO.003120155 002 0 C/ Jl 'Carmel PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANAR46032 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 12/1V2012 I lublor Enpress Collision CEI IGI Pollco Depaitment VENDOR SHIP 3 Civic Square �s TO West Carpel Drive Carmel, IN 4s 32 Carmel„ IN 46032 (317)571-2669 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE EXTENSION Account 43.$10.00 1 Each repairs to vehicle $939.23 $939.23 Sub Total: $939.23 401 _..r ,---- c---------,, „-, or Tz.--,i, ..p)...!,...<,,,,:l.giii,....,..,,w, . s ,., 7}41" „,„6:,,-...e:w\A , . .co , • tk4 .., • , , ,... NEN :4 . • :141 6 . brA , vk v ::10 Jii ?eel Ts ,,,,... :t .* S ',T 51: - .. 411)//410 o 14' **114,11111111111111 . ,,:4 'fr.4 ' Send Invvooice o:/S. Harris © 0 _ •• Caimei Police Department Attn:Teresa Antemon . 3 Civic Square Carmel, IN Q12- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Police Dept. PAYMENT x•23 • 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 AT THERE U,IS AN OBLIGATED BALANCE IN THIS APPROPFi Al!I N SUFFICIE T.Td AY FOR THE ABOVE ORDER. •SHIP REPAID. . •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. .,2 •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /' ■, SHIPPING LABELS. Chief of Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE '1. AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 5.5 6 0 CLERK-TREASURER . DOCUMENT CONTROL NO. OFFICE COPY