32058 R&T Tire and Auto � 0 INDIANA RETAIL TAX EXEMPT PAGE
� l \�/ ®�?Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
s �T FEDERAL EXCISE TAX EXEMPT
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
• 6/19/2014
R A T Tire and Auto Cannel Police Department
VENDOR SHIP 3 Civic Square
17018 Clover Road • TO Cannel, IN 46032
Noblesville, IN 46080 (317)571-2559
•
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-320.00
1 Each tires $598.28 $596.28
Sub Total: $598.28
•
Air t1/'� `��
a.
Ilia
tIll
it- •
•
r___ _:-...-)st._ .,e,1,,e__ lir ..
.- •• • \0 .
Send Invoice To: � �_ � (` �
Cannel Police Departml \-4-
�`���Jl
L
Attn: Pat Young
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
Cannel Police Dept. PAYMENT $598'28
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
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
cr •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED(BY kY� A
'. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. \ Chief of Police •
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE"-,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 32058 OFFICE COPY - f'c,
1 `