102180 TBA & OIL WAREHOUSE, INC �/C , INDIANA RETAIL TAX EXEMPT Page 1 of 1
tof I1airrrie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
�fJ \\ FEDERAL EXCISE TAX EXEMPT 102180
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
12/3/2018 354275
T B A& OIL WAREHOUSE, INC Carmel Police Department
VENDOR 2425 E 30TH ST SHIP 3 Civic Square.
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46218--2724 Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31501
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-315.00
5 Each 55 gallon drum 5w30 oil $649.00 $3,245.00
Sub Total $3,245.00
3 �
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Send Il voice To: _,__' w , '
Carmel Police Department
Accounts Payable ,
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
f'EPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $3,245.00
SHIPPING INSTRUCTIONS '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
'SHIP PRE':^diAFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SH `:1,NT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHA;::ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL ^" la, ��
*THIS ORCI R ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 f�J - \
ANDACTS `:'.'=NDATORYTHEREOFAND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow \�! /
TITLE Chief \12 (/n
CONi'OL NO. 1 02180 CLERK-TREASURER �y ,