32204 Tires PlusCity of Carmel
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
32204
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
1111212014
'limo Plus
VENDOR
531 South Rangeline Road
Cannel, IN 48032
SHIP
TO
Cannel Pollee Department
3 Civic Square
Carmel, IN 48032
(317) 571 -2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42-320.00
2 Each tires
Car 0145
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032-
PLEASE INVOICE IN DUPLICATE
$123.99
Sub Total:
$247.98
$247.98
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
Cannel Police Dept.
SHIPPING INSTRUCTIONS
• 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. ,
DOCUMENT CONTROL NO. 32204
ORDERED BY
TITLE
II
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 PRO ER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTI'��'//��,,��'LL'�,'' HERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPyIATIO FFICIENT TO PAY JO'THE ABOVE ORDER.
AMOUNT
$247.98
hlef of Police