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31432 R&T TIre and Auto Co _ INDIANA RETAIL TAX EXEMPT PAGE ity ®f • / it eii CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER• � �a FEDERAL EXCISE TAX EXEMPT 31432 • 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 1/14/2014 R&TTire and Auto • Cannel Police Department VENDOR SHIP 3 Civic Square TO 17016 Clover Road . Cannel, IN 46032 Noblesville, IN 46080 (317)571-2574 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT • OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-320.00 80 Each tires $101.11 $8,088.80 Sub Total: $6,088.60 • • • •••••• •)0 owl ©0-40 Send Invoice To: . Cannel Police Department Attn: Pat Young • 3 Civic Square Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Police Dept. <3 PAYMENT $6,066.60 • MP 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 S ORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFYTHATTHE IS AN UNOOLIGATED BALANCE IN THIS APPROPRIATION SW, •ENT TO PAY FOR THE ABOVE ORDER. • SHIP REPAID. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY • SHIPPING LABELS. C •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1995 TITLE C of of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO CLERK-TREASURER DOCUMENT CONTROL NO. 31432 OFFICE COPY