25357 Bill Estes Chevorlet ��J INDIANA RETAIL TAX EXEMPT PAGE
�� \�/ ®f .Carmel CERTIFICATE NO.003120155 002 0
\��\/// n. y ��15..�� �1.�JJJ111 PURCHASE ORDER NUMBER
S, .. FEDERAL EXCISE TAX EXEMPT
35-60000972 J S`7
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 V VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL— 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
71912013
Bill Estes Chevrolet Cannel Police Department
VENDOR SHIP 3 Chic Square
TO
4105 West 98th Street Carmel, IN 48032
Indianapolis, IN 48288 (317)671-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
•
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-370.00
1 Each catalytic converter $884.85 $884.85
Sub Total: $884.85
/A
Send Invoice To: °" -((0'
Cannel Police Department )j
Attn:Teresa Anderson
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. cit PAYMENT $684.85
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HASATHE PROPER/SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY¢f lT IFY THAT THEREISANUNOBLIGATED BALANCE IN
THIS APP ggq RWTION S EFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID 1
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY e
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE id of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERRETTOO.
2 b 3 ti l CLERK—TREASURER
DOCUMENT CONTROL NO. OFFICE COPY