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City ofCarmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 41710
35.60000972
ONE CNA';SQUARE
CARIIE. 5471A'IA 450 -2E 34 THIS NUMBER MUST APPEAR ON INVOICES.NP
VOUCHER,DELNERY 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
6/9/2017 06/10/17 12891 400352025 P8 Tire Replacement
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
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT _...__.
QUANTITY I UNIT OF MEASURE DESCRIPTION I UNIT PRICE I EXTENSION
1.000 each BF Goodrich Rugged Trail Tire Replacement with installation 250.7300 $250.73
GLAccount#1125401-4351000
Send Invoice To:
$250.73
PLEASE INVOICE IN DUPLICATE
DEPARTMENT i ACCOUNT ' PROJECT ' PROJECT ACCOUNT I AMOUNT ..._,..
PAYMENT
NP VOUCHER CANNOT B!APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS TIE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
, I HEREBY CERTIFY THAT THERE IS AN UNOBLIOATED BALANCE IN THIS APPROPRIATION
• SHP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.O SHIPMENTS CANNOT BEACCEPTEW.
• PURCHASE ORDER NUMBER MUST APPEAR ONALL SHIPPING LABELS, ORDERED BY Neil Whitehead
. THIS ORDER ISSUED M COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 41710 VdI!DU CO''.' \\