32448 R&T TiresCity of Cannel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-60000972
PAGE
PURCHASE ORDER NUMBER
32448 .
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
9/3/2014
1 ,
R A T Tire and Auto
VENDOR
17018 Clover Road
Noblesville, IN 48080
SHIP
TO
Cannel Police Department
3 Civic Square
Cannel, IN 48032
(317) 571-2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
1 ,
QUANTITY I UNIT OF MEASURE I.
DESCRIPTION
Account 42-320.00
20 Each tires
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032-
GY732354500
UNIT PRICE
EXTENSION
PLEASE INVOICE IN DUPLICATE
$89.50 $1,790.00
Sub Total: 1 $1,790.00
DEPARTMENT
Cannel Police Dept.
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ..
• ACCOUNT
SHIPPING INSTRUCTIONS
PROJECT
PROJECT ACCOUNT
DOCUMENT CONTROL NO. 32448
ORDERED BY
TITLE
tl.
CLERK - TREASURER
OFFICE COPY
PAYMENT
• 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.
• I HEREBY CERTIFY THAT THE • IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION F TENT TO PAY FOR THE ABOVE ORDER.
AMOUNT
$1,790.00