31421 Guardian AUto Glass •C0 ,,,�,,,,, C INDIANA RETAIL TAX EXEMPT PAGE
i¢¢,,y or Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
y FEDERAL EXCISE TAX EXEMPT 31421
•
35-60000972
•
,,,• ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
\!X 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
12/19/2013 '`T,
I
;�,.--.:•:
----- Guardian Auto Glass LLC T<;�: Cannel Police Department
VENDOR THIP 3 Civic Square O
940 N. Shadeland Ave Cannel, IN 46032
Indianapolis, IN 46219.4810 (317)571-2574
CONFIRMATION BLANKET CONTRACT 'PAYMENT TERMS FREIGHT
1
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE' EXTENSION
Account 43'610.00
/
1 Each repair windshield • /' .. $203.68 $203.68•
Sub Total: $203.88
•
•
f-ll
•
Send Invoice To: " RI .. - -" -
J �r1�f11 ,
Cannel Police Department
Attn: Pat Young
3 Civic Square
•
Cannel, IN 48032- 'PLEASE INVOICE IN DUPLICATE •
' DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT $203.68
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
/ / -. • / .'1 ' / • 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 TH,•E IS AN UNOBLIGATED'BALANCE IN Nj'
THIS APPROPRIATIO P'CIENT TO PAY FOR THE ABOVE ORDER. ,,, l
' • SHIP REPAID. /�`. yam•
•CO.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY J`///
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE • lei of Police _
117 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. • •
CLERK-TREASURER
DOCUMENT CONTROL N0. 31421; I I OFFICE COPY A*