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HomeMy WebLinkAbout102180 TBA & OIL WAREHOUSE, INC �/C , INDIANA RETAIL TAX EXEMPT Page 1 of 1 tof I1airrrie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER �fJ \\ FEDERAL EXCISE TAX EXEMPT 102180 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 12/3/2018 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 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 31501 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1110 Fund: 101 General Fund Account: 42-315.00 5 Each 55 gallon drum 5w30 oil $649.00 $3,245.00 Sub Total $3,245.00 3 � "� Send Il voice To: _,__' w , ' Carmel Police Department Accounts Payable , 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE f'EPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $3,245.00 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 PRE':^diAFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN *C.O.D.SH `:1,NT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. 'PURCHA;::ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL ^" la, �� *THIS ORCI R ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 f�J - \ ANDACTS `:'.'=NDATORYTHEREOFAND SUPPLEMENT THERETO. ORDERED BY Jim Barlow \�! / TITLE Chief \12 (/n CONi'OL NO. 1 02180 CLERK-TREASURER �y ,