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C ity INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0 Io . ., ►
FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER
ONE CIVIC SQUARE
35-60000972 38907
L'ARI1EL,:I ''t t1 4S-032-2r.3. THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8/4/2015 08/04/15 6183 Transmission repairs,brake repairs and oil change
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 I UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each MO1 -oil change $ 18.9900 $ 18.99
1.000 each MO1 - Repairs to transmission $422.4000 $422.40
1.000 each M01 -brake repair $ 1,136.6700 $ 1,136.67
1.000 each Oil change for P02-2004 Ford F150- $ 18.9900 $ 18.99
VIN:2FTRX18W34CA79129
GLAccount#1125401-4351000
Send Invoice To:
$ 1,597.05
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT 1 PROJECT I PROJECT ACCOUNT ' AMOUNT
PAYMENT
• AIP 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.
• SHIP REPAID. . I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
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 Courtney Weintraut ' \ L�
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 N
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38907 VENDOR COPY
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