HomeMy WebLinkAbout25896 R & T Tire Icy' I�y,
i t f ana CERTIFICATE NO. 03120155 02 0 PACE
���11�/// ��SSLL..••• ���11�/// Lug 111111 PURCHASE ORDER NUMBER
i FEDERAL EXCISE TAX EXEMPT 25S9S
i 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
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
11114/2011
R T Tire and Auto Cannel Pollee Department
VENDOR SHIP 3 Civic Square
TO
17018 Clover Road Cannel, IN 48032
Noblesville, IN 48080 (317) 571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42.320.00
30 Each tires $85.25 $1,957.50
Sub Total: $1,957.50
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Send Invoice To: �f f
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48012- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $1,957.50
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY H TTHERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIf SUFFICIENT TPAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
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PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE Chief of Polka
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25896 CLERK- TREASURER
DOCUMENT CONTROL NO. OFFICE COPY