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HomeMy WebLinkAboutPearson Ford, Inc./$137,471/2021 Sign Truck - ASACzKpoPcfsmboefsbu21; 13bn-Kbo24-3132 DocuSign Envelope ID: B120BA19-1A54-4F7F-902A-346C5B1A4461 1/21/2021 1/21/2021 1/21/2021 1/21/2021 FYIJCJU B) 2pg7* DocuSign Envelope ID: B120BA19-1A54-4F7F-902A-346C5B1A4461 FYIJCJU B) 3pg7* DocuSign Envelope ID: B120BA19-1A54-4F7F-902A-346C5B1A4461 FYIJCJU B) 4pg7* DocuSign Envelope ID: B120BA19-1A54-4F7F-902A-346C5B1A4461 FYIJCJU B) 5pg7* DocuSign Envelope ID: B120BA19-1A54-4F7F-902A-346C5B1A4461 FYIJCJU B) 6pg7* DocuSign Envelope ID: B120BA19-1A54-4F7F-902A-346C5B1A4461 FYIJCJU B) 7pg7* DocuSign Envelope ID: B120BA19-1A54-4F7F-902A-346C5B1A4461 INDIANARETAILTAXEXEMPTPage1of1 CityofCarmel0031201550020 CERTIFICATENO.PURCHASEORDERNUMBER FEDERALEXCISETAXEXEMPT 104876 ONECIVICSQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, A/P VOUCHER, DELIVERY MEMO, PACKING SLIPS, CARMEL, INDIANA46032-2584 SHIPPING LABELS AND ANY CORRESPONDENCE FORMAPPROVEDBYSTATEBOARDOFACCOUNTSFORCITYOFCARMEL - 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1/7/2021237560 Lease = 0 PEARSON FORD,INC Street Department VENDORSHIP 10650NMICHIGANRD 3400W. 131st Street TO Carmel, IN 46074- ZIONSVILLE, IN 46077 - ( 317) 733-2001 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 52972 QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION Department: 12060Capital Fund: Lease Fund Account: 44-650.01 1Each2021 SignTruck (FordF-550Supercab4x4Diesel84" CA)$ 137,471.00$ 137,471.00 SubTotal 137,471.00 SendInvoiceTo: Street Department 3400W. 131st Street Carmel, IN 46074- 317) 733-2001 PLEASEINVOICEINDUPLICATE DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT PAYMENT 137,471.00 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER ISMADE A SHIPPINGINSTRUCTIONS PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN SHIP PREPAID. AFFIDAVIT ATTACHED. IHEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN C.O.D. SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 194 ANDACTSORDEREDBY AMENDATORY THEREOF AND SUPPLEMENT THERETO. TerryKillenJamesCrider TITLE CommissionerDirector ofAdministration CONTROL NO. 104876 CONTROLLER DocuSign Envelope ID: B120BA19-1A54-4F7F-902A-346C5B1A4461