HomeMy WebLinkAbout41716 PEARSON FORD INC A '- INDIANA RETAIL TAX EXEMPT PAGE 1
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„ , , . CERTIFICATE NO.X3120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 41716
35-60000972
_ _ ..-
' -•- THIS NUMBER MUST APPEAR ON INVOICES.A!P
` VOUCHER,DELIVERY MEMO,PACKING SUPS.
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
6/9/2017 06/14/17 12956 237560 CCPR Vehicle Spare keys
Pearson Ford Inc. Parks Maintenance
10650 North Michigan Road 1427 E. 116th Street ATTN:Courtney
VENDOR Zionsville,IN 46077 SNIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTRY I UNIT OF MEASURE 1 DESCRIPTION I UNIT PRICE I EXTENSION
3.000 each Spare keys for the 2017 Ford Transit Van $ 142.0000 $426.00
1.000 each One time programing fee $101.0000 $101.00
GLAccount#1125401-4232100
Send Invoice To:
$527.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT
AJP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PA.NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACH.
I HEREBY CERTIFY THAT THERE IS AN UNOBINGATED 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 Courtney Weintraut
. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945
AND ACTS AMENDATORY TIEREOF ARC SUPPLEMENT THERETO. TITLE j
CLERK-TREASURER \\
DOCUMENT CONTROL NO. 41716 \