HomeMy WebLinkAbout33218 R & T Tire and Auto IL0 INDIANA RETAIL TAX EXEMPT PAGE
I t)7 ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33218
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
1012912015
R&T flre and Auto - Camel Police Department
3 Civic Square
VENDOR_
SHSquare
O16. Clover Road TO Cannel, IN
Noblesville, IN 48060 (317)571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION - UNIT PRICE EXTENSION
Account 42-320.00
40• Each tires $116.92 .$4.676.72 .
Sub Total: $4,676.72
#✓ .....
+ ,' 4.4!: I cl) ,
I
! 10
ak, .,..,,,,,. %„ \ t.,!,,,tek.,.; t /,., ,,,,,s
'I'll -- \ ' (-------41.------' 40-1111 t : si
••��.. ••• (x
Send Invoice To: / -` '
Carmel Police Department
Attn: Pat Young
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. $4,6761.72
PAYMENT
• 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.
SHIPPING INSTRUCTIONS . ' • I HEREBY CERTIFY TH T T gRE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI U FICIENT 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. - Id of Pollee
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ICLERK-TREASURER
DOCUMENT CONTROL NO. 33218 OFFICE COPY