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102059 FIRESTONE TIRE & SERVICE CENTER City INDIANA RETAIL TAX EXEMPT Page 1 of 1 oI ar}r]r] e1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER �jf1 J��JLFEDERAL EXCISE TAX EXEMPT 102059 ONE CIVIC SQUARE 35-6000972 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 111212018 00351179 FIRESTONE TIRE&SERVICE CENTER Carmel Police Department VENDOR PO BOX 403727 SHIP 3 Civic Square TO Carmel, IN 46032- ATLANTA,GA 30384--3727 Blaine Mallaber PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 30610 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1110 Fund: 101 General Fund Account: 42-320.00 1 Each tires x 8 $938.88 $938.88 Sub Total $938.88 a, 'ti, YJ`,� �' / x`°tl —,' O , ,: l 1p 1 & t i s . ij R i : Send Invoice To: �° 4 ; Carmel Police Department ;, _ , Accounts Payable � , 3 Civic Square `s' ------'''.:g-k, t,y' xFps<.m Carmel, IN 46032- I PLEASE INVOICE IN DUPLICATE DEPARTMENT 1 ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT PAYMENT $938.88 SHIPPING INSTRUCTIONS 'A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A 'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN *C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. 'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL � ��\ *THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 `� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Jim Barlow ` ' TITLE Chief CONTROL NO. 102059 CLERK-TREASURER