25364 Hubler Express O Jnl� Of �1�� e� INDIANA RETAIL TAX EXEMPT PAGE
Ili{,/ CERTIFICATE NOO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AR
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
711512013
Hubler Express -Carmel Cannel Police Department
VENDOR SHIP 3 Civic Square
TO
503 West Carmel Drive Cannel, IN 46032
Cannel„ IN 46032 (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.510.00
1 Each repairs to vehicle $1,425.30 $1,425.30
�(( Sub Total: $1,425.30
oar
4 0 CA
•
(71ftV1
494 o •• 4•
Car 10?/Hughes Q ��
Send Invoice To: 1
Carmel Police Department
Attn:Teresa Anderson
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT $1,425.30
• 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 THAT/THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATI• .EFFICIENT 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 hide of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
25364 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY