HomeMy WebLinkAbout29531 Tom Wood Ford 0 C1ty INDIANA RETAIL TAX EXEMPT
of Carmel CERTIFICATE NO.003120155 002 0 PAGE
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 29531
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 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
3/13/13 M000931 305700 Vehicle Replacement Parts
Tom Wood Ford Maintenance R��` p"�
TO MAR 3 20�
VENDOR
Ir1C4i areFt 1 Si 1N 4lc240
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE ill DESCRIPTION UNIT PRICE I EXTENSION
1 EA Wheel Cover for P02 - Ford F150 Truck $35.17 $35.17
1 EA Wheel Cover for M04 - Ford F250 Truck $60.00 $60.00
1 EA Tail Light Cover for M04 - Ford F250 $49.28 $49.28
1 EA Tail Light Cover for P10 - Ford F150 Truck $109.13 $109.13
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Send Invoice To:
$253.58
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
1125-4-13-4232100-Garage & Motor Supplies PAYMENT
• NP VOUCHER CANNOT BE APPROViD FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORD AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS/N UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT 10 PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Todd Snyder - DK a
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL l t...'�1>y;;c 'I \ -�'`3I�.J
SHIPPING LABELS. 11 ''
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
-
29531 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY