HomeMy WebLinkAbout103141 R & T TIRE & AUTO: NOBLESVILLE v INDIANA RETAIL TAX EXEMPT Page 1 of 1
CIo t of CInritiriie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103141
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
10/3/2019 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
40268
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-320.00
1 Each tires x 20 $2,926.40 $2,926.40
Sub Total $2,926.40
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Send Invoice To:
Carmel Police Department
Accounts Payable•
3 Civic Square r
Carmel,IN 46032- . #, , '` ,'"'Rry
PLEASE INVOICE IN DUPLICATE
DEPARTMENT E ACCOUNT PROJECT V PROJECT ACCOUNT I AMOUNT
PAYMENT $2,926.40
*AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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 W
\1 T\\�JI\l
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
TITLE Chief \O
CONTROL NO. 103141 CLERK-TREASURER