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City of Carmel r CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
•- FEDERAL EXCISE TAX EXEMPT
35-60000972 31357
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,ANP
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
•111719013
R&T Tire and Auto • Cannel Police Department
VENDOR SHIP
TO 3 Civic Square
17016 Clover Road • Cannel, IN 46032 46032
N CONFIRMATION bBLANK 17)571-I:TET CONTRACT PAYMENT TERMS
R C FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42.320.00
20 Each tires• $89.50 $1,790.00
Sub Total: $1,790.00
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Send Invoice To:
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel. IN 40032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT, I PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. \�� PAYMENT $1.790.00
.•
��J) • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER S ORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THE:' IS AN UNOBLIGATED BALANCE IN
• SHIP REPAID.
THIS APPROPRIATIO • F NT TO PAY FOR THE ABOVE ORDER.•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ft
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE .
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
• CLERK-TREASURER
DOCUMENT CONTROL-ND. 313 57 OFFICE COPY