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® I{° �1 Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE
I'�/1nL of I'�,/ CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 25421
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
911812013
R&T Tire and Auto s Cannel Police Department
VENDOR SHIP 3 Civic Square
TO
17010 Clover Road Carmel, IN 48032
Noblesville, IN 40080 317)5712559
CCNFIRmATON BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42420.00
84 Each tires - $121.73 $10,225.28
Sub Total: $10,225.28 .
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Send Invoice To: -�
Cannel Police Department ,
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT _ _ ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
Cannel Police Dept. PAYMENT $10,225.28
• NP 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.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY t.—
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL -
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE -S 9- _ :i P - I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 3 4 2 1 CLERK-TREASURER •
DOCUMENT CONTROL NO. OFFICE COPY