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HomeMy WebLinkAbout56077 ENTERPRISE FM TRUST INDIANA RETAIL TAX EXEMPT PAGE 1 CitY q y CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 56077 35-60000972 ONE CIVIC SQUARE CARMEL,INDIANA 4E0 32_2 84 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 11/11/2021 11/15/21 26917 373011 Fleet Lease Rental for AO1 (2021 Ford Explorer Limited) Enterprise FM Trust Administration Office PO Box 800089 1411 E. 116th Street VENDOR Kansas City, MO 64180-0089 SHIP Carmel, IN 46032 TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 12.000 each Ford Explorer Limited 2021 - Lease Pmt- December 2021 - $ 838.760 $ 10,065.12 November 2022 12.000 each Maintenance Fees $ 59.540 $ 714.48 GLAccount# 1125401-4353099 Send Invoice To: $ 10,779.60 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 Dawn Koepper • THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Purchasing Administrator CONTROLLER DOCUMENT CONTROL NO. 56077 VIE NOON COIPY