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f I1airiririie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100834
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
1PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
10/23/2017 357097 Admin Side Cleaning
SERVICE FIRST CLEANING, INC Fire Department
VENDOR PAYMENT PROCESSING CENTER SHIP 2 Civic Square
PO BOX 7439 TO Carmel, IN 46032-
WESLEY CHAPEL, FL 33545-
PURCHASE ID BLANKET [ CONTRACT r PAYMENT TERMS FREIGHT
20037
QUANTITY UNIT OF MEASURE if DESCRIPTION UNIT PRICE EXTENSION 7
Department: 1120 Fund: 101 General Fund
Account: 43-506.00
2 Each Weekly Cleaning x 3 Administative Side $909.30 $1,818.60
Sub Total $1,818.60
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,818.60
SHIPPING INSTRUCTIONS *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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder /�J
TITLE Budget&Accreditation Manager \(
CONTROL NO. 100834 CLERK-TREASURER