HomeMy WebLinkAbout50251 PEARSON FORD INC DIANA RETAIL TAX
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ityof CarmelCERTIFICATE NO.0031Y0155NOQZ 0 FEDERAL EXCISE TAX EXEMPT I PURCHASE ORDER NUMBER
35-60000972 50251
ONE CIVIC SQUARE
CAMEL.142441A 4ECZZ-234 THIS NUMBER MUUSTAPPEARONINVOICES,NP
VOUCHER,DEUVERYMEMO.PACKING SLIPS,
SLAPPING LABELS AND MY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CRY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8/172017 08/21/17 13743 237560 Extra keys for new 2017 Ford F250
Pearson Ford Inc. Parks Maintenance
10650 North Michigan Road 1427 E. 116th Street ATTN:Courtney
VENDOR Zionsville,IN 46077 So P Carmel,IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION I UNIT PRICE EXTENSION
4.000 each Extra Sets of keys for new fleet purchase $135.0000 $540.00
1.000 each Key programming charge $100.0000 $100.00
GLAc count#1125401-4238000
Send Invoice To:
$640.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT
• AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER R MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
• !HEREBY CERTIFY THAT THERE IS AN UNOBUOATED BALANCE El THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. COD SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ONALL.SHIPPING LABELS. ORDERED BY Michael Men
. TIM ORDER ISSUED IN COMPLIANCE WITH CHAPTER YE.ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50251 VENDOR COPY ��\