HomeMy WebLinkAbout103541 FIRESTONE TIRE & SERVICE CENTER INDIANA
TAIL TAX EXEMPT Page 1 of
cii 51 of �( CERTTIFICA EENO0031201550020 PURCHASE ORDER'NUMBER
/Jl \Iairririie1/ FEDERAL EXCISE TAX EXEMPT 103541
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
12/13/2019 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
42729
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund.
Account: 42-320.00
1 Each tires x 28 $3,419.60 $3,419.60
Sub Total $3,419.60
firm
Send Invoice To: . . �_� ..... 0 �...xz �.'�
Carmel Police Department
Accounts Payable .�
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT, AMOUNT
PAYMENT $3,419.60
SHIPPING INSTRUCTIONS *AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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 yy��� //
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 a E34w"���a , \V\
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow U \
TITLE Chief
CONTROL NO. 103541 CLERK-TREASURER