HomeMy WebLinkAbout38009 PFM Car & Truck Care INDIANA RETAIL TAX EXEMPT PAGE 1
PURCHASE ORDER NUMBER
CE: ::E° :;TIFICA0 it O f �� a 1 `�1 e 38009
35-60000972
THIS NUMBER MUST APPEAR ON INVOICES,PJP
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
1/23/2015 01/28/15 4049 Replace 4 Worn Tires on Kubota due to type of usage
PFM Car&Truck Care Parks Maintenance
1441 Guilford Rd., Suite 100 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY T.,-.5-76T MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Return Tire purchased wrong type for wear $-102.6000 $-102.60
4.000 each Replacement Tires for Kubota -Trail type instead of street $ 170.9650 $ 683.86
GLAccount# 1125401-4351000
Send Invoice To:
$ 581.26
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT
• A!P 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLJGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS, ORDERED BY Dawn Koepper pP - �'',�,�tirt V� �41_5-
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO, TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38009 [i')R CC1P''