32211 R&T Tire and AutoCity 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
32211
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
121312014
R&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
CONFIRMAVON
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE I
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42-320.00
1 Each tires
Send Invoice To:
Cannel Pollee Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032-
GY183108418
PLEASE INVOICE IN DUPLICATE
$3,928.40
Sub Total:
$3,928.40
$3,928.40
DEPARTMENT
Cannel Police Dept.
cl
ACCOUNT
PROJECT
PROJECT ACCOUNT
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. 32211
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
AMOUNT
$3,928.40
• 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 TH T T ERE IS AN UNOBLIGATJJCcD BALANCE IN
THIS APPROPRI • • i j FICIENT TO PAY FO= FtE ABOVE ORDER.
of of Police