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INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
104678
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
12/11/2020354275
T B A & OIL WAREHOUSE, INC Carmel Police Department
VENDOR2425 E 30TH ST SHIP 3 Civic Square
TO
Carmel, IN 46032-
INDIANAPOLIS, IN 46218--2724Don Kirch
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
52292
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
1110101General Fund
Account:
42-315.00
1Each55 gallon drum$3,400.00$3,400.00
Sub Total$3,400.00
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$3,400.00
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ORDERED BY
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Jim Barlow
TITLEChief
104678
'10531.01#
CLERK-TREASURER