26071 R & T Tire and Auto City INDIANA RETAIL TAX EXEMPT PAGE
of \1/ o I' 1\ sane CERTIFICATE NO.003120155 002 0
y PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 28071
35- 60000972
ONE CIVIC SQUARE 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
2(2312012
R &TTire and Auto Carmel Police Department
VENDOR SHIP 3 Civic Squat*
17016 Clover Road TO Carmel, IN 46032
Noblesville, IN 46080 (317) 571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION I UNIT PRICE EXTENSION
Account 42320.00
20 Each tires $120.88 $2,413.60
Sub Total: $2,413.60
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tires for Tahoek M
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Send Invoice To: j�
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 46032• PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. (S., $2,413160
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS t HE PO.'
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIF H THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. THISAPPRO A UFFICIENT TO PAV FOR THE ABOVE ORDER.
C.0.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. hief of Pollee
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.•
CLERK TREASURER
DOCUMENT CONTROL NO. 26071 OFFICE COPY