25601 Genuine Auto Parts INDIANA RETAIL TAX EXEMPT PAGE
Ci.t' T Of C sane l CERTIFICATE NO.003120155 002 0
//// PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 4
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
! SHIPPING LABELS AND ANY CORRESPONDENCE.
1 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9t1d1�93
Genuine Auto Parts ` Camel Police Department
VENDOR SHIP
TO
Civic Square
Collection Center Drive Carmel, IN 46032
Chiemao, IL MITI.579.2.W
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 42.370.00
0
9 Each $427.00 $427.00
Nub bz C �,bi�° pub Total: $427.00
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Sendlgn SieeJTo' a1=1e 0.''
j� ' 40 'l `
CE11111G1 Police Deparhment
Attn:Teresa Anderson
3 Civic Squara - •
` Carmel, IN 42- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. c\Q./S PAYMENT $427.00
• 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.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY TT AT THERE IS AN UNOBLIGATED BALANCE IN
THIS.,A 13) M'T 6 SUFFIC ENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. ; 4
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY 1 `
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. .
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ''CIAO oV Poico
AND ACTS AMENDATORY THEREOF AND SUPPLEMETHHERETO.
2g'601. CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY