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CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
€ arrnel FEDERAL EXCISE TAX EXEMPT 38985
35-60000972
Ci':lh_SE):_tA~E
THIS NUMBER MUST APPEAR ON INVOICES,AJP
' -- 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
8/20/2015 08/24/15 6380 Restroom restocking supplies
Cintas Corporation Parks Maintenance
P.O. Box 630803 1427 E. 116th Street ATTN: Courtney
VENDOR Cincinnati, OH 45263-0803 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE I EXTENSION
6.000 case 7702-9"toilet paper for outdoor parks $42.0000 $252.00
2.000 each 30102999- Handsoap for outdoor parks $42.0000 $84.00
GLAccount# 1125401-4238900
Send Invoice To: •
$336.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT l PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• ATP 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 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 WeintrautA
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �' J
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38985 VENDOR COPY