HomeMy WebLinkAbout55077 ARAB TERMITE & PEST CONTROL INC INDIANA RETAIL TAX EXEMPT PAGE 1
0RTIFICATE NO.003120155 002 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
Park ec ti 35-60000972 55077
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141.1 L 11 m Strad
THIS NUMBER MUST APPEAR ON INVOICES,A/P
Car eI,IN 46032 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
1/11/2021 01/13/21 24649 358491 Perelman Pavilion 2021 Pest Control Services
Arab Termite& Pest Control In MCC-West
4035 Millersville Rd 1235 Central Park Drive East
VENDOR Indianapolis, IN 46205 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
12.000 each Jan 2021 —Dec 2021 Monthly Service $ 75.000 $ 900.00
GLAccount# 1104000-4350100
Send Invoice To:
$ 900.00
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. 55077 COPY