HomeMy WebLinkAbout101095 FIRESTONE TIRE & SERVICE CENTER .0120155 002 o 1 C
INDIANA RETAIL TAX EXEMPT Page 1 of 1
ty of Carmer N
CFEDERALTEXC SE TAX EXEMPTO PURCHA1S®O1ROD�5NUMBER
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/13/2017 00351179
FIRESTONE TIRE&SERVICE CENTER Dept of Community Service
VENDOR PO BOX 403727 SHIP 1:Civic Square
TO :.
Carmel,IN 46032
ATLANTA,GA 30384--3727
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21679
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192. Fund: 101 General Fund
Account: 42-321.00
1 Each Misc.auto repairs _ $1,079.00_ $1,079.00
Sub Total $1,079.00
s
Send Invoice To:
Dept of Community Service
1 Civic Square
Carmel,IN 46032-
. E K
PROJECT ACCOUNT
£ .. ..
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT AMOUNT
PAYMENT $1,079.00
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 /�
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ( �� ��,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TITLE ORDERED BY \
Mike Hollibaugh
Director
A_,
CONTROL NO. 101095 CLERK-TREASURER