HomeMy WebLinkAbout32816 R&T Tire and AutoCity of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
32696
THIS NUMBER MUST APPEAR ON INVOICES, A/P.
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
3196/2095
R T Tiro and Auto
VENDOR.
97016 Clovor Road
Noblolavlile, IN 4600
SHIP
TO
Carmal Police Department
3 Civic Squab
Canna!, IN 46032
(397) 571
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT, OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 420.00
20 Each Tires
Send Invoice To:
Cannel Polito Dopartrnent
Attn: Pat Young
3 Civic Square
Cannel, IN 46032-
P235 -55 R17
PLEASE INVOICE IN DUPLICATE
$110.02
Sub Total:
$2,200.40
$2,200.40
DEPARTMENT
Cannel Police Dept.
ACCOUNT
PROJECT
PROJECT ACCOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 32816
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
AMOUNT
$2,200.40
• A/P 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.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICE f TO PAY FOR THE ABOVE ORDER.
of Pollee