25546 Hubler Express Collision INDIANA RETAIL TAX EXEMPT
City PAGE
�1' �;� rmeli CERTIFICATE NO.003120155 002 0
of PURCHASE ORDER NUMBER
-
FEDERAL EXCISE TAX EXEMPT 45548
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
i.
1113W2012 }
I
Hubler Enpross Collision Camel Police Department
VENDOR SHIP 3 Citric Square
503 West Camel Drive { TO Cannel, IN 48032
Ca m I„ IN 48032 (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
I
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43510.00
1 Each repairs to vehicle $2,289.10 $2,289.10
Sub Total: $2,289.10
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car 133/Hedrick
Send Invoice To:
Cannel Police Department - .. __ _ _ _fir".
Attn:Teresa Anderson
3 Civic Square
Carmel, IN 48032= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. )..5. PAYMENT $2,289.10
• 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 PROPE SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT TIRE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT 0 1 F 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
SHIPPING LABELS.
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE hif oQ Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
25546 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY
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