HomeMy WebLinkAbout55495 RAY"S TRASH SERVICE INC - Revised INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
i N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT
55495
35-60000972
ONE CIVIC SQUARE
C.ARMEL,IN DIAILIA 460 32.-.256,4 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 DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8/5/2021 05/30/21 26228 00350479 Change: Dumpster for PNR Demolition Projects
Ray's Trash Service Inc. Parks Maintenance
Drawer 1 1427 E. 116th Street ATTN: Courtney
VENDOR Clayton, IN 46118 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each construction dumpster Haul fee $ 190.000 $ 190.00
1.000 each delivery fee $45.000 $45.00
10.000 each per ton disposal $40.000 $400.00
1.000 each fuel surcharge $ 11.000 $ 11.00
1.000 each Additional Charges $ 158.200 $ 158.20
GLAccount# 1125401-4350400
Send Invoice To:
$ 804.20
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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
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 Purchasing Administrator
CONTROLLER
DOCUMENT CONTROL NO. 55495 V N ID 0 IR COIF Y