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INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
104535
FEDERAL EXCISE TAX EXEMPT
35-6000972
ONE CIVIC SQUARE
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CARMEL, INDIANA 46032-2584
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FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/25/202000351179
FIRESTONE TIRE & SERVICE CENTER Carmel Police Department
VENDORPO BOX 403727 SHIP 3 Civic Square
TO
Carmel, IN 46032-
ATLANTA, GA 30384--3727Don Kirch
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
51720
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
1110101General Fund
Account:
42-320.00
1Eachtires x2$373.82$373.82
Sub Total$373.82
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$373.82
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ORDERED BY
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Jim Barlow
TITLEChief
104535
'10531.01#
CLERK-TREASURER