HomeMy WebLinkAbout55070 REPUBLIC SERVICES # 781
INDIANA RETAIL TAX EXEMPT
PAGE 1
CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
55070
35-60000972
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PURCHASE ORDER DATEDATE REQUIREDREQUISITION NO.VENDOR NO.DESCRIPTION
1/7/202101/12/21246382021 Trash Services for Westermeier Commons
Republic Services # 761 Parks Maintenance
P O Box 9001099 1427 E. 116th Street ATTN: Courtney
SHIP
Louisville, KY 40290-1099Carmel, IN 46032
VENDOR
TO
CONFIRMATIONBLANKETCONTRACTPAYMENT TERMSFREIGHT
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
12.000eachJan - Dec 2021 Monthly Trash and Recycle Services$ 110.000$ 1,320.00
GLAccount# 1125401-4350101
Send Invoice To:
$ 1,320.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
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
AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS
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.
Dawn Koepper
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.ORDERED BY
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TITLE
CLERK-TREASURER
VENDOR COPY
DOCUMENT CONTROL NO.
55070