HomeMy WebLinkAbout56112 NAPA GENUINE PARTS CO City
INDIANA RETAIL TAX EXEMPT PAGE 1
1 CERTIFICATE NO 003120155 002 0
._ PURCHASE ORDER NUMBER
FEDERAL EXCISE
TAX EXEMPT ,� ,.
35-60000972 1 1' .
ONE WIC SQUARE
CARMEL,It.JANA=E332-2E ' THIS NUMBER MUST APPEAR ON INVOICES,AIP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 4
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
ON
12/3/2021 12/04/21 27007 355214 Kubota Tractor Repair Parts
NAPA(Genuine Parts co.) Parks Maintenance
5959 Collections Center Drive 1427 E. 116th Street
VENDOR Chicago, IL 60693 To P Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION _ UNIT PRICE EXTENSION
2.000 each PLT11 Bars radiator stop leak $5.530 $ 11.06
3.000 each RTU1GAL antifreeze $7.990 $23.97
GLAccount#1125401-4232100
Send Invoice To:
$35.03
PLEASE INVOICE IN DUPLICATE
DE ,..... _... ...m
DEPARTMENT ACCOUNT 1mm PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT
• AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
,. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Neil Whitehead ff / -
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Park Maintenance Foreman
CONTROLLER
DOCUMENT CONTROL NO. ' ,IJ$r VENDOR COPY