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HomeMy WebLinkAboutStericycle, Inc./LAW/$2,112/Shred BoxCzKpoPcfsmboefsbu2;6:qn-Nbz21-3132 DocuSign Envelope ID: 43C69F4E-B382-42BF-A34B-77690155927C DocuSign Envelope ID: 43C69F4E-B382-42BF-A34B-77690155927C DocuSign Envelope ID: 43C69F4E-B382-42BF-A34B-77690155927C DocuSign Envelope ID: 43C69F4E-B382-42BF-A34B-77690155927C DocuSign Envelope ID: 43C69F4E-B382-42BF-A34B-77690155927C DocuSign Envelope ID: 43C69F4E-B382-42BF-A34B-77690155927C 5/19/2021 5/19/2021 5/19/2021 5/19/2021 DocuSign Envelope ID: 43C69F4E-B382-42BF-A34B-77690155927C DocuSign Envelope ID: 43C69F4E-B382-42BF-A34B-77690155927C DocuSign Envelope ID: 43C69F4E-B382-42BF-A34B-77690155927C DocuSign Envelope ID: 43C69F4E-B382-42BF-A34B-77690155927C DocuSign Envelope ID: 43C69F4E-B382-42BF-A34B-77690155927C DocuSign Envelope ID: 43C69F4E-B382-42BF-A34B-77690155927C 1/\/./` City®f Carmel INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120165 002 0 Page 1 Of 1 PURCHASE ORDER NUMBER JIII'1 FEDERAL EXCISE TAX EXEMPT 105202 ONE CIVIC SQUARE 35.6000972 THIS NUMBER MUST APPEAR ON INVOICES, AIP CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 5/4/2021 00352121 STERICYCLE INC Department of Law VENDOR PO BOX 6575 SHIP 1 Civic Square TO Carmel, IN 46032- CAROL STREAM, IL 60197--6575 Douglas C. Haney (317) 571-2472 PURCHASE ID BLANKET CONTRACT PAYMENTTERMS FREIGHT 56014 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department. 1180 Fund: 101 General Fund Account 43-419.99 1 Each Shred Box Send Invoice To: Department of Law Douglas C. Haney 1 Civic Square Carmel, IN 46032- 317) 571-2472 PLEASE INVOICE IN DUPLICATE 2,112.00 Sub Total 2,112.00 2,112.00 DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT PAYMENT $2,112.00 SHIPPING INSTRUCTIONS AVP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHERAND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORNSHIPPREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN C.0 D. SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL Q / THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS I AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY TITLE CONTROL NO. 105202 CONTROLLER Jon Oberlander Assistant Corporation Counsel DocuSign Envelope ID: 43C69F4E-B382-42BF-A34B-77690155927C