HomeMy WebLinkAbout52312 REPUBLIC SERVICES #761 INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
CityCannel PURCHASE ORDER NUMBER
j FEDERAL EXCISE TAX EXEMPT 52312
35-60000972
ONE CMC SOiAR=
C'r:Rl`I=L`INDIANA�`1..'32-25$ INVOICES,THIS NUMBER MUST APPEAR ON
VOUCHER,DELIVERY MEMO,PACKING SLI ,
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
1/7/2019 01/12/19 18576 358593 2019 Outdoor Parks Trash Service
I Republic Services#761 Parks Maintenance
P 0 Box 9001099 1427 E. 116th Street ATTN: Courtney
VENDOR Louisville, KY 40290-1099 SHTO Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
12.000 each Jan- Dec 2019 monthly trash service $ 150.0000 $ 1,800.00
GLAccount#1125401-4350101
Send Invoice To:
$ 1,800.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• A/P 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. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE .G
CLERK-TREASURER \
DOCUMENT CONTROL NO. 52312 VENDOR COPY \\.....411