37367 PFM Car & Truck {e-� ((( INDIANA RETAIL TAX EXEMPT PAGE 1
PURCHASE ORDER NUMBER
O �1�^ CERTIFICATE NO.003120155 002 0
Lity I jj
FEDERAL EXCISE TAX EXEMPT 37367
35-60000972
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
7/23/2014 07/23/14 2344 QQ3520 ZG Vehicle repairs&maintenance
PFM Car&Truck Care Parks Maintenance
1441 Guilford Rd., Suite 100 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032 THOIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Replace upper& lower ball joints on the front. Replace all 4 $2,054.9100 $2,054.91
tires- Rover H/T LT245/75R17 including wheel alignment
1.000 each Replace the front discs, measure rotors and repack wheel $ 676.5900 $676.59
bearings. Replace right outer tie rod end
1.000 each Replace rear disc rotors L& R, replace exhaust manifold $ 2,096.1200 $2,096.12
1.000 each Brake pads and rotor turning on the front and new air filter $ 182.2700 $ 182.27
GLAccount# 1125401-4351000
Send Invoice To:
$5,009.89
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
' 125 4-3S10 00 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 SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Schlaegel cYb f� .• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 ' 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37367 VENDOR UOFY