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104859 REPUBLIC WASTE SERVICES OF INDIANA
Page 1 of 1 INDIANA RETAIL TAX EXEMPT $*/0!-)!$&.,(+ CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER 104859 FEDERAL EXCISE TAX EXEMPT 35-6000972 ONE CIVIC SQUARE ;12:6<5+.95<:;*88.*97626=72,.:#*%8 =7<,1.9#-.42=.9?5.57#8*,3260:428:# CARMEL, INDIANA 46032-2584 :12882604*+.4:*6-*6?,799.:876-.6,. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1/5/2021358593 REPUBLIC WASTE SERVICES OF INDIANA Brookshire Golf Course VENDORPO BOX 9001099 SHIP 12120 Brookshire Pkwy. TO Carmel, IN 46033- LOUISVILLE, KY 40290--1099Pamela Lister(317) 846-7431 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 52887 QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION Department:Fund: 1207101General Fund Account: 43-501.01 1Each3-0761-0035461$7,000.00$7,000.00 Sub Total$7,000.00 Send Invoice To: Brookshire Golf Course Pamela Lister 12120 Brookshire Pkwy. Carmel, IN 46033- (317) 846-7431 PLEASE INVOICE IN DUPLICATE DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT $7,000.00 +"0($). "%$2716',)3'%0015&)%22317)(*132%9/)0560.)445,)2#1#06/&)3-4/%()% -&'++')%')-.,/#.'*)- 2%351*5,)716',)3%0()7)39-071-')%0(716',)3,%45,)2312)348130 ":12889.8*2-$ %**-(%7-5%55%',)(#-,)3)&9')35-*95,%55,)3)-4%0601&.-+%5)(&%.%0')-0 ",$7$-$:1285.6;,*667;+.*,,.8;.-$5,-4%223123-%5-1046**-'-)05512%9*135,)%&17)13()3# "8<9,1*:.79-.96<5+.95<:;*88.*976*44:12882604*+.4 ";12:79-.92::<.-26,75842*6,.>2;1,1*8;.9))#*,;:&)'( ORDERED BY *6-*,;:*5.6-*;79?;1.9.7/*6-:<884.5.6;;1.9.;7$ Bob Higgins TITLEGeneral Manager/Superintendent 104859 '10531.01# CLERK-TREASURER