50945 PFM CAR & TRUCK CARE •
: INDIANA RETAIL TAX EXEMPT ;PAGE 1
CERTIFICATE N0.003120155 002 0
eiCy. _ .. ��..._� ;PURCHASE ORDER NUMBER mm�
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FEDERAL EXCISE TAX EXEMPT 50945
35-60000972 i i
ONE.CMC SQUARE - - I _
awe_INDIANA 46032-2E84 1 i THIS NUMBER MUST APPEAR ON INVOICES A!P I
•
VOUCHER,DELIVERY MEMO,PACKING SLIPS, I
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE I DATE REQUIRED REQUISITION NO. VENDOR NO. � DESCRIPTION
2/20/2018 02/25/18 15399 i 00352025 Ford F250#P08-Brake repair and oil change
PFM Car&Truck Care Parks Maintenance
1441 Guilford Rd.,Suite 100 1427 E. 116th Street ATTN:Courtney
VENDOR Carmel, IN 46032 SHIP Carmel, IN 46032
TO
M
CONFIRMATION BLANKET i._CONTRACT I PAYMENT TERMS I - FREIGHT
QUANTITY UNIT OF MEASURE - .
I DESCRIPTION <. _........_ ___....... m...- ...I UNIT PRICE I EXTENSION
1.000 each Oil change $39.9500 $39.95
1.000 each Brake repairs $ 1,069.4900 $ 1,069.49
GLAccount#1125401-4351000
Send Invoice To:
$1,109.44
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT .._____.....,.,...,„....
PROJECT PROJECT ACCOUNT I. AMOUNT
PAYMENT
• MP 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.
• SHIP REPAID. . I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN THIS APPROPRIATION
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 Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 - -- ,
41
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TITLE
CLERK-TREASURER Q
DOCUMENT CONTROL NO. 50945 VENDOR COPY
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