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TAX EXEMPT
CINRETAIL I PAGEofCarmelTCATE NNO003120155 002 0 PURCHASE ORDER NUMBER
• AL
EGI$1$TAX tkEMPT 50231
35-60000972
DUE CIVIC SQUARE
GRUEL.IF;:I:a'tA C oL THIS NUMBER MUST APPEAR ON INVOICES,NP
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
8/15/2017 08/19/17 13893 197000 Restroom restocking supplies
Cintas Corporation Parks Maintenance
P.O.Box 630803 1427 E.116th Street ATTN:Courtney
VENDOR Cincinnati,OH 45263-0803 SON P Carmel,IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT d MEASURE DESCRIPTION 7 UNIT PRICE
-T- EXTENSION
6.000 case 7702-9"toilet paper rolls $42.0000 $252.00
12.000 each Citrus air freshener cans $2.5000 S 30.00
3.000 each Foaming hand soap $42.0000 $126.00
GLAccount#1125401-4238900
Send Invoice To:
$408.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT j PROJECT i PROJECT ACCOUNT 1 AMOUNT
PAYMENT
- ASS VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOKE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
- I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN THIS APPROPRIATION
. SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
▪ C.O.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER MIMBERMUST APPEAR ONALL SHIPPING LABELS. ORDERED BY Courtney Weintra+.(t
. THIS ORDER ISSUED W COMPLUWCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50231 V_NPR::.Ct .*% 1\