HomeMy WebLinkAbout53417 RAY'S TRASH SERVICE INC INDIANA RETAIL TAX EXEMPT PAGE 1
ICity o Carmel CERTIFICATE NO.003120155 002 0 pURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
53417
35-60000972
ONE CIVIC SQUARE
CARMEL,INDIANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,AR
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
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
8/14/2019 08/19/19 21127 00350479 Monon Blvd.Trash Services August 16,2019-April 14,2020
Ray's Trash Service Inc. Parks Maintenance
Drawer 1 1427 E. 116th Street ATTN: Courtney
VENDOR Clayton, IN 46118 TOHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
3.000 each Monthly Fee-2yd Trash 6x per week August 16,2019- $ 186.000 $558.00
November 15,2019
3.000 each Monthly Fee-2yd Recycle 6x per week August 16,2019- $ 135.000 $405.00
November 15,2019
5.000 each Monthly Fee-2yd Trash 2x per week November 16,2019- $87.000 $435.00
April 14,2020
5.000 each Monthly Fee-2yd Recycle 2x per week November 16,2019- $55.000 $275.00
April 14,2020
2.000 each One Time Delivery Fee $25.000 $50.00
GLAccount#1125422-4350900
Send Invoice To:
$1,723.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• AR 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
CLERK-TREASURER
DOCUMENT CONTROL NO. 53417 VENDOR COPY ^�