25644 Guardian Auto Glass LLC CityG' INDIANA RETAIL TAX EXEMPT PAGE
of C.irmell CERTIFICATE NO.003120155 002 0
JL PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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
2/1912013
Guardian Auto Glass LLC Cannel Police Department
VENDOR SHIP 3 Civic Square
TO
940 N. Shadeland Ave Cannel, IN 46032
Indianapolis, IN 46219-4810 (317)571-2569
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS . . FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-510.00
1 Each repair windshield $234.00 $234.00
Sub Total: $234.00
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Send Invoice c 40Topool car h" .
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Carmel Police Department
Attn: Teresa Anderson
3 Civic Squana
Carrel, IN 46032- . PLEASE INVOICE IN DUPLICATE
DEPARTMENT , ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $234.00
• 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 1 • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP IATI Rl SUFFICIENT 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 hiof of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25644 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY