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i 0_ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 29584
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
3/26/13 M000933 O035 33S5 Brake Repairs
Car X C..__'�`_;F=_ .����,. -- -—
Maintenance i , .. c%_T
1'4 3CQ Keuk5ltAft_, WO9 TO i MAR 2 6 2013
VENDOR O
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1 EA Brake Repair Estimate for P02 $438.10 $438.10
1 EA Brake Repair Estimate for P08 $566.82 $566.82
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Send Invoice To . ' I :,
$1,004.92
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
1125-4-13-4351000-Auto Repair& Maintenance 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 SWORD AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT ID PAY FOR THE ABOVE ORDER.
•SHIP REPAID. /°� 1
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY John Gates - DK y�,10_ ,M, )2��\3
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL WL\`�'`- .7a
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
29584 CLERK-TREASURER
DOCUMENT CONTROL NO. COPY