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ma�y,4.. . o ar e I CERTIFICATEINDIANARET NO.003120155TAXEXEMPT 002 0 PURCHASE ORDER NUMBER
'�LL + FEDERAL EXCISE TAX EXEMPT 52312
35-60000972
ONE CIVICSOUARE.
CARIiELI IND1AtFA 48032*2584 VOUCHER, APPEARINVOICES,U H DEUVER N
MEMO,
PACKING
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
7/2/2019 07/07/19 20581 358593 Change:2019 Outdoor Parks Trash Service
Republic Services#761 Parks Maintenance
P 0 Box 9001099 1427 E. 116th Street ATTN:Courtney
VENDOR Louisville,KY 40290-1099 So P Carmel,IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION - UNIT PRICE _ 'I EXTENSION
12.000 each Jan-Dec 2019 monthly trash service $150.000 $1,800.00
6.000 each Recycle Dumpster Added -7/1119=12/31/19 $55.000 $330.00
GLAccount#1125401-4350101
ToTAi- 2 13O. 00
PKVIlot&St4 PAU) or'l - )3 to. o0
TII 5 P o.
-
1SEW 811LAMS - 820.00
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT :I - ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• AIP 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 UNOBUGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. COD 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
CLERK-TREASURER
DOCUMENT CONTROL NO. 52312 VENDOR COPY
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