36933 PFM Car & Truck INDIANA RETAIL TAX EXEMPT PAGE 1
I Carmel CERTIFICATE NO.003120155 002 0 Y FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER
36933
L 35-60000972
---, THIS NUMBER MUST APPEAR ON INVOICES,AIR
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
5/212014 05/04114 1307 Repairs to M07 electrical system
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 CONTRACT PAYMENT TERMS FREIGHT
QUANTITY 7 UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Electrical repairs to M07-see quote for more details $ 1,600.26 $ 1,600.26
GLAccount# 1125401-4351000
Send Invoice To:
$ 1,600.26
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT , AMOUNT
t a ?jGj�OQC� PAYMENT
`. - - • AJP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.D.NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS 0 2 AFFIDAVIT ATTACHED.
MAY 0 2 20 14 ; • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. COD SHIPMENTS CANNOT BE ACCEPTED. .1731/-
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS '-- • ORCIERED BY Courtney Schlaegel
IC
MIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36933