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® iIarrn.e1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
yFEDERAL EXCISE TAX EXEMPT 103597
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AR
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 •
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/20/2019 358593
REPUBLIC WASTE SERVICES OF INDIANA General Administration
VENDOR PO BOX 9001099 SHIP 1 Civic Square
TO _ . ..
Carmel, IN 46032-
LOUISVILLE, KY 40290--1099
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42873
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1205 Fund: 101 General Fund
Account: 43-501.01
1 Each Trash Collection $10,000.00 $10,000.00
Sub Total . $10,000.00
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Send Invoice To: " .
Dept of Administration ,
1 Civic Square
Carmel, IN 46032- --
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $10,000.00
SHIPPING INSTRUCTIONS S .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
'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 7 1� (..'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 i.--f7 C. .0 _- -E;
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
James Crider James Crider
TITLE Administration. Administration
CONTROL NO. 103597 CLERK-TREASURER