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HomeMy WebLinkAbout56928 PFM Car & Truck Care - Revised INDIANA RETAIL TAX EXEMPT PAGE 1 qytIfy 1-11, 1,u ar CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 56928 35-60000972 ONE crnc 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 7/11/2022 07/10/22 28815 00352025 Change:Service-Fleet#3174(2017 Ford F-250) PFM Car&Truck Care Parks Maintenance 1441 Guilford Rd., Suite 100 1427 E. 116th Street 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 Disassemble rear brakes and parking brake to determine parts $ 136.000 $ 136.00 needed 1.000 each Parking brake assembly $ 1,231.710 $ 1,231.71 1.000 each Diagnostics on brake noise $ 68.000 $ 68.00 1.000 each Environmental Fees $ 77.920 $ 77.92 1.000 each Wheel Seals (found after initial estimate) $ 126.220 $ 126.22 GLAccount# 1125401-4351000 Send Invoice To: $ 1,639.85 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. 56928 VENDOR COPY