HomeMy WebLinkAbout100367 R & T TIRE & AUTO - NOBLESVILLE INDIANA RETAIL TAX EXEMPT Page 1 of 1
City o1 Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100367
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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 1
4118/2017 00350983
R&T TIRE&AUTO-NOBLESVILLE Cannel Police Department
VENDOR 17016 CLOVER ROAD SHIP 3 Civic Square
TO Carmel,IN 46032-
NOBLESVILLE, IN 46060- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
14646
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-320.00
20 Each tires $101.61 $2,032.24
Sub Total $2,032.24
Send Invoice To:
Police Department
Accounts Payable
3 Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT _PROJECT T- PROJECT ACCOUNT r AMOUNT 1
PAYMENT $2,032.24
*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 ___,.....7_-- ,,,,,_-_,,,
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ', r-
—
TAND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY (Tim Green `�
TITLE Chief of Police `s\ ,
CONTROL NO. 100367 CLERK-TREASURER — ‘