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City
Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 140373
ONE CIVIC SQUARE _ 35-6000972 _ THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
CARMEL,INDIANA 46032-2584 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
4119/2017 354275
T B A&OIL WAREHOUSE, INC Carmel Police Department
VENDOR 2425 E 30TH ST SHIP 3 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46218--2724 Blaine Mallaber
TERMS FREIGHT
PURCHASE ID BLANKET CONTRACT PAYMENT
14668
—i
DESCRIPTION UNIT PRICE I EXTENSION
QUANTITY UNIT OF MEASURE
Department: 1110 Fund: 101 General Fund
Account: 42-315.00
2 Each 55 gallon drum 5w30 oil $649.00 _ $1,298.00
Sub Total $1,298.00
Send Invoice To:
Police Department
Accounts Payable
3 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE PROJECT ACCOUNT AMOUNT
DEPARTMENT t ACCOUNT i--_ PROJECT
PAYMENT $1,298.00
•NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL �f .....-
AND
4.("\
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ORDERED BY — -v --
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Tim Green 'TITLE Chief of Police YX
CONTROL NO. 100373 CLERK-TREASURER