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C i�i \�/ ®f' Carmel,armel CERTIFICATE NO.003120155 002 0
`>t. �a PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3 13
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
121412013
R&T Tire and Auto Cannel Police Department
VENDOR SHIP 3 Civic Square
TO
17018 Clover Road Cannel, IN 46032
Noblesville, IN 48080 (317)571-2574
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
•
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42320.00
20 Each tires $89.50 $1,790.00
Sub Total: $1,790.00
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Send Invoice To Air
Cannel Police Department C V✓
Attn: Pat Young
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. �`S . PAYMENT $1780,00
• 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 HEREBY CERT FIT AT THERE PYFOR THE BALANCE ORDER
•SHIP REPAID.
THIS APPRO:'I SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D:SHIPMENTS CANNOT BE ACCEPTED. .
ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE dr Ipf of Pallets
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. r
q CLERK-TREASURER
DOCUMENT CONTROL NO. 313 H4 OFFICE COPY