36645 Reynolds Farm Equipment INDIANA RETAIL TAX EXEMPT PAGE 1
/� -(�► CERTIFICATE NO.003120155 002 0
1 1 PURCHASE ORDER NUMBER
City C L J 1 FEDERAL EXCISE TAX EXEMPT 36645
35-60000972
7i I, :f:1': ._..:1,
.-n.E•`EL "I:i=+;L =•__ 2_. 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
2/13/2014 01/15/14 309 00350257 John Deere Skid Steer repairs
Reynolds Farm Equipment Parks Maintenance
P O Box 218 1427 E. 116th Street ATTN: Courtney
VENDOR Fishers, IN 46038 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Repairs to backdoor cover& Upper Door $ 764.00 $ 764.00
1.000 each Replace side window $90.00 $90.00
1.000 each Labor $255.00 $255.00
1.000 each Inspect unit for over-heating -Radiator Replacement $606.00 $ 606.00
1.000 each Replace Thermostat $ 35.00 $ 35.00
1.000 each Wiper Replacements $ 50.00 $ 50.00
1.000 each Antifreeze $50.00 $50.00
GLAccount# 1125413-4350000
Send Invoice To:
$ 1,650,00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT
RRC4 • AAP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
Y'1 TI PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS h� AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. 1 7 f� 2014 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED. FEB II D d L U f // �,/
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL Ei11y� tL
ABELS. RDERED BY Courtney Schlaegel ,,t'1(,c fa' A 1 J)I y
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945��� 7
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
I CLERK-TREASURER
DOCUMENT CONTROL NO. 36645 ',IP'.:E) f;:C:I='r