31424 R&T Tire and Auto CJ INDIANA RETAIL TAX EXEMPT PAGE
ity�� \�/ ® I' Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
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• 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
1/132014
R&T The and Auto Cannel Police Department
VENDOR SHIP 3 Civic Square
TO
17018 Clover Road Carmel, IN 48032
Noblesville, IN 48080 (317)571-2574
CONDRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT '
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f .
QUANTITY UNIT OF MEASURE DESCRIPTION / UNIT PRICE EXTENSION
Account 42-320.00
4 Each Tires GY738285571 $101.80 $407.20
Sub Total: $407.20
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Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ' ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT $407.20
• 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.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT T ERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATI N U ICIENT 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.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE • lef of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 314 24 CLERK-TREASURER
OFFICE COPY