HomeMy WebLinkAbout28972 Car-X 6., f /i" J�1L l� f� 1 CERTIFICATE NO. 003120155 002 0 PURR S E ORDER NUMBER
l4 y �}►.G (LaL FEDERAL EXCISE TAX EXEMPT 28972
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, f
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIT
SHIPPING LABELS AND ANY CORRESPONDEM
DRM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
CHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
09 -15 -11 M000563 0035 3385 Brake work needed on truck M04
9 C n 1 ;1., :NDOR Car -X TO IP {.Ei� 1 U ZU�1
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IFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 1 EXTENSION
1 service Replace front rotors, resurface back rotors. $575.81 $575.81
New brake pads on all four wheels.
Includes parts and labor.
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Send Invoice To
575.81
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT 1 PROJECT ACCOUNT 1 AMOUNT
1125 -4 -01 Auto repairs maintenance PAYMENT
��JS 57 o v 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS 1N UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT 10 PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. r D c aegel/T. Snyder
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. k ii
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE I:
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 4 /4
28972 CLERK TREASURER
nnr i IMP MT rnNTRfL NO. VENDOR COPY