HomeMy WebLinkAbout25786 TBA North 'PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
6623/2011
City of Carmel
ONE, SQUARE
CARMEL; INDIANA 46032 -2584
FORM APPROVED'BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
IBA North
VENDOR
Grrdle Drive
Carrel, IN 46032
BLANKET
CONTRACT
UNIT OF MEASURE
PAYMENT TERMS
DESCRIPTION
FREIGHT
UNIT PRICE
CONFIRMATION
QUANTIT
Account 42470.00
4 Each brake pads
4 Each rotors
Send Invoice To:
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Camel, IN 46032-
ACCOUNT
PROJECT
PROJECT ACCOUNT
DEPARTMENT
Carmel Police Dept.
SHIPPING INSTRUCTIONS
SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 25786
RAF ATD1159P
D80 18A2322
ORDERED BY
TITLE
CLERK- TREASURER
OFFICE COPY
SHIP
TO
PLEASE INVOICE IN DUPLICATE
Camel Police Department
3 Civic Square
Cammel, IN 46032
(317) 571
PAYMENT
A/P 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 AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
le? of Polio
$40.70
$54.08
Sub Total:
PAGE
PURCHASE ORDER NUMBER
257
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
$982.80
$218.32
$379.12
AMOUNT
$379.12
EXTENSION