HomeMy WebLinkAbout54844 PFM CAR & TRUCK CARE INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
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PURCHASE ORDER NUMBER
.. " FEDERAL EXCISE TAX EXEMPT
54844
35-60000972
ONE U I IU SOUARE
(CARMEL, IN 46032-25,8,4 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
9/24/2020 09/05/20 24007 0035202 ' Preventative Maintenance for Fleet Vehicles
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 UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Oil change for Tacoma#1171 Mileage: 36917 $56.820 $ 56.82
1.000 each Tire rotation for#1171 $ 14.950 $ 14.95
1.000 each Oil change for Ford Transit Van#1173 Mileage: 6249 $49.950 $49.95
1.000 each Oil change for Toyota 4 runner#1161 Mileage: 19,904 $57.800 $ 57.80
1.000 each Tire rotation for#1161 $ 14.950 $ 14.95
1.000 each Ford Transit Van#1173- Hood Latch Replacement $ 124.920 $ 124.92
GLAccount# 1125401-4351000
Send Invoice To:
$ 319.39
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 ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54844 V IF;;;III D Ih I,,,