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TAX EXEMPT PAGE 1
City � � CERTIFICATE NOL.
EXCISE TAX EXEMPT PURCHASE ORDER NUMBER
50013
35-60000972
ORE CMS SQUARE
CAR14.1, THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER.DELIVERY MEMO.PACKING SUPS,
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
6/27/2017 07/02/17 13158 197000 Restroom supplies
Cintas Corporation Parks Maintenance
P.O.Box630803 1427 E. 116th Street ATTN:Courtney
VENDOR Cincinnati,OH 45263-0803 To P Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTnY I UNIT OF MEASURE f DESCRIPTION I UNIT PRICE I EXTENSION
8.000 case 9"toilet paper rolls $42.0000 $336.00
GLAccount#11254014238900
Send Invoice To:
$336.00 J
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT
• AS'VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER NAB THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIOATED 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 SIEPPING LABLLS. ORDERED BY Courtney Weintraut
• THIS ORDER ISSUED IN COMPS ANCE WITH CHAPTER 99.ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50013 W.ENDOI'.COPY
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