36908 PFM Car & Truck (\/�'�,1 \(�J 1 CERTDIANA IFICATE NO.0 TAX 03120155' ^002 0 PAGE 1
City y f C a r me 1 FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER
35-60000972
411.11j-J::4 THIS NUMBER MUST APPEAR ON INVOICES.NI'
-- -' 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
4/29/2014 05/03/14 1283 0035dod5� P07 ABS brake repair
PFM Car& Truck Care Parks Maintenance
1441 Guilford Rd., Suite 100 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032 ToIP Carmel, IN 46032
CONFIRMATION BLANKET CONI RACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
1.000 each ABS brake repairs to P07- Please see quote for more detail. $ 819.99 $819.99
GLAccount# 1125401-4351000
Send Invoice To:
$ 819.99
PLEASE INVOICE IN DUPLICATE
DEPART DENT 7CCOUNTJ17' i T PROJC PROJECT ACCOUNT AMOUNT
//25_' 435/000 APR 29 ?VA PAYMENT
• AIP 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 By AFFIDAVIT ATTACHED.
1
HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.0 D SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Schlaegel Oct fil't t Yh'7/i c/
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36908 --"-"/NDOF: C oP`