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City
oCariniiel CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
J� FEDERAL EXCISE TAX EXEMPT 101196
ONE CIVIC SQUARE 35-.6000972 THIS NUMBER MUST APPEAR ON INVOICES,AN
CARMEL;INDIANA 46032-2584
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE Q.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO: VENDOR NO. . . . . DESCRIPTION .. . .
12/20/2017 00352673 Shredding services . K\'r\3k)
SHRED-IT USA LLC Clerk-Treasurer's Office
VENDOR: 28883 NETWORK PLACE SHIP 1 Civic Square
TO C: . . armel,IN_46032-
CHICAGO, IL 60673--1288
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT _. .
22009
QUANTITY :: UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 1701 Fund: 101 General Fund
Account 43-509.00,
1. Each. On-Site Regular Services.
9 $1,000.00 :. $1;000.00
Sub Total $1,000.00
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Send Invoice To: �`.*:::"—:'''''2::':'::4‘1:
� � ��` � V,
Clerk-Treasurer's Office
1:Civic Square
Carmel, IN 46032- -
PLEASE INVOICE
IN DUPLICATE
DEPARTMENT ACCOUNT:: PROJECT .. PROJECT ACCOUNT AMOUNT..
PAYMENT $1,000.00 .:. . .
•NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS 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
'CO.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
Dianne.Walthall
TITLE Director of Financial Reporting
CONTROL NO. :-I O�I �I 96 CLERK-TREASURER