31483 Abra HE Carmel O t1f,o f �` v armel INDIANA RETAIL TAX EXEMPT 155 00 PAGE
11111111 I'\1/ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO. PACKING SUPS,
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
21712014
Abra HE Cannel Cannel Police Department
VENDOR SHIP 3 Civic Square
503 West Cannel Drive TO Cannel, IN 48032
Carmel„ IN 48032 (317)571-2574
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
1
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-510.00 i
1 Each vehide repairs $803.45 $803.45
Sub Total: $803.45
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ar57 Lt. Bickel ��' �� �%0 {�� `����
en d Invoice To: -r`f �( �l •
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
mel Police Dept. e.. PAYMENT $803.45
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PARZ OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS TH ROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTI )THERE IS AN GATED BALANCE IN
3HIP REPAID. THIS APPROP IATI N FFICIEN PAY FOR THE ABOVE ORDER.
C.D.SHIPMENTS CANNOT DE ACCEPTED.
'URCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
HIPPING LABELS. C I of
Police
HIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE
ND ACTS AMENDATORY THEREOF AND SUPPLEMENT`THERETO. I I
CLERK-TREASURER
)C3 ENT CONTROLNO. 31483 OFFICE COPY
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