HomeMy WebLinkAbout100689 R & T tIRE & AUTO- NOBLESVILLE INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of II11arirrie1
CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100689
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
8/29/2017 00350983
R&T TIRE&AUTO-NOBLESVILLE Carmel 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
18525
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-320.00
52 Each tires $126.64 $6,585.52
Sub Total $6,585.52
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $6,585.52
SHIPPING INSTRUCTIONS 'NP 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
'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 \-c
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BYJim Barlow James Crider ^\
TITLE Chief Administration !V�\
CONTROL NO. 100689 CLERK-TREASURER