HomeMy WebLinkAbout102842 FIRESTONE TIRE & SERVICE CENTER CityINDIANA RETAIL TAX EXEMPT Page 1 of 1
ofir (( Iar]ririie1 CERTIFICATE NO.003120155 002 0PURCHASE ORDER NUMBER
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� FEDERAL EXCISE TAX EXEMPT 1 02842
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,ANP
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
4/25/2019 00351179
FIRESTONE TIRE&SERVICE CENTER Carmel Police Department
VENDOR PO BOX 403727 SHIP 3 Civic.Square
TO Carmel,::IN 46032-
ATLANTA,GA 30384--3727 Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
35731
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-320.00
1 Each tires x 4 $481.04 $481.04
Sub Total $481.04
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Send Invoice To: _s <,.>. .__.... ;�s .,_.�... ._,.�.., a " �
Carmel Police Department � �
Accounts Payable 7 el
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3 Civic Square :.
Carmel,IN 46032- X ,� y �.
PLEASE INVOICE IN DUPLICATE
DEPARTMENT s ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $481.04
SHIPPING INSTRUCTIONS 'AIP 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. ORDERED BY
Jim Barlow
TITLE Chief
CONTROL NO. 102842 CLERK-TREASURER