HomeMy WebLinkAbout50406 REPUBLIC SERVICES INDIANA RETAIL TAX EXEMPT RAGE 1
CCERTIFICATE NO.003120155 002 0. �
, i of PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-50000972 50406
ONE CIVIC SSUARE . - _ _
CARMEL,.INDIANA 4$032-2s584 ' THIS NUMBER MUST APPEAR ON INVOICES,NP �
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
I SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE 1 DATE REQUIRED REQUISITION NO. 1 VENDOR NO. : DESCRIPTION
10/3/2017 °09/10117 113902 I 358593 I Roll off dumpster for Inlow Park-playground#2 demo
Republic Services#761 Parks Maintenance
P 0 Box 9001099 1427 E. 116th Street ATTN:Courtney
VENDOR Louisville,KY 40290-1099 SHIP
HP Carmel, IN 46032
TO
CONFIRMATION; BLANKET ' CONTRACT ; PAYMENT TERMS FREIGHT
I
QUANTITY r UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION
1.000 each delivery fee $88.0000 $88.00
1.000 each pick up $232.0000 $232.00
1.000 each amount of disposal-5tons $188.0500 $188.05
GLAccount#1125401.4350101
Send Invoice To:
$508.05
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I _.. ... ....._.. .._...
ACCOUNT PROJECT PROJECT ACCOUNT 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. SUFFICENT TO PAY FOR THE ABOVE ORDER.
• C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER \\�
DOCUMENT CONTROL NO. 50406 VENDOR COPY