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INDIANA RETAIL TAX EXEMPT PAGE
City o Carmel CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972r
P
ONE CIVIC SQUARE 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
R T Tiro and Auto Carmel Police Department
VENDOR TO L P 3 TIC Square
p 97096 Clover Road Caumol, IN
CONFIRMATION zbleeville, IN PAYMENT TERMS 17) 571 F FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42320.00
75 Each tires $85.00 $4,875.00
Sub Total: $4,875.00
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Send Invoice To: '.0
Carmel Police Department
Attn: Terosa Anderson
Tic Square PLEASE INVOICE IN DUPLICATE
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DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
b PAYMENT
Carmel Police Dept. A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT C1N7EESS'THE'P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIO U gIICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE idY g II Polltzu
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER.
DOCUMENT CONTROL NO. 27896 OFFICE :COPY