HomeMy WebLinkAbout100780 R & T TIRE & AUTO - NOBLESVILLE INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carmel CERTIFICATE EXCISE TAX EXEMPT020 PURCHASE C8O
ORDER NUMBER
FEDERAL �I
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
10110/2017 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 i BLANKET I CONTRACT PAYMENT TERMS FREIGHT
19681
1 i
r QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 1 EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-320.00
1 Each tires $4,259.36 $4,259.36
Sub Total $4,259.36
Send Invoice To:
Cannel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
r DEPARTMENT r ACCOUNT i PROJECT PROJECT ACCOUNT , AMOUNT
PAYMENT $4,259.36
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 t1c
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ,J}rro.. '
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �
Jim Barlow
TITLE Chief \\A'4‘CONTROL NO. 100780 CLERK-TREASURER - _ -