52081 CAR & TRUCK CARE INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
City , f s1
arme PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 52081
35-60000972
ONE CIVIC SQUARE
CARMEL INDIAI1A 430'2-251.4 THIS
NUMBER
HER,ER IVERMUST PPEORONINVOCPACKINGEP�
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
10/29/2018 10/16/18 17912 00352025 Brake repair on P09
PFM Car&Truck Care Parks Maintenance
1441 Guilford Rd., Suite 100 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032 TOP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Labor and material to replace brakes on one axle- P09 $314.4800 $314.48
VIN#1 FTYR15E29PA28907
GLAccount#1125401-4351000
Send Invoice To: ,
$314.48
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I 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.
▪ 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 Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 n
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE R
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CLERK-TREASURER ,119
DOCUMENT CONTROL NO. 52081 VENDOR COPY ___ VVV