HomeMy WebLinkAbout52571 RENNER'S BODY WORKS INDIANA RETAIL TAX EXEMPT PAGE 1
PURCHASE ORDER NUMBER
-c CERTIFICATE NO.003120155 002 0 it I i r
j ( FEDERAL EXCISE TAX EXEMPT 52571
35-60000972
THIS NUMBER MUST APPEAR ON INVOICES,A/P
�: /ri_!,'FI_(�[,=Ln?[-Z� .= 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
3/20/2019 03/24/19 19172 00351793 Bumper repair for vehicle#1171
Renner's Body Works Parks Maintenance
8190 East 146th Street 1427 E. 116th Street ATTN: Courtney
VENDOR Noblesville, IN 46060 7o P Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Bumper and body repair to truck#1171 per attached vehicle $ 1,578.8200 $ 1,578.82
GLAccount#1125401-4351000
Send Invoice To:
$ 1,578.82
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 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 UNOBLIGATED 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 THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 52571 VENDOR COPY