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CERTIFICATE NO.003120155 002 0
o a e PURCHASE ORDER NUMBER
City FEDERAL EXCISE TAX EXEMPT
35-60000972 38873
IIr.QMt_
CARMEL.11401,441A='032 2SSI . .- THIS NUMBER MUST APPEAR ON INVOICES,PIP
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
7/24/2015 07/29/15 6104 Toilet paper and hand sanitizer for outdoor parks
Cintas Corporation Parks Maintenance
P.O. Box 630803 1427 E. 116th Street ATTN: Courtney
VENDOR Cincinnati, OH 45263-0803 To P Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE I EXTENSION
6.000 each 7702-9"toilet paper rolls for outdoor parks $42.0000 $252.00
1.000 each Hand sanitizer(gel-non foaming) $54.0000 $54.00
GLAccount# 1125401-4238900
Send Invoice To:
$306.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT i PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT
• NP 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 . �C^lt, a�'��, �\
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 I" I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38873 VENDOR COPY