HomeMy WebLinkAbout56125 GREENCYCLE OF INDIANA w4 CERTIF CATE O.00 0155 0 2 i 1 INDIANA RETAIL TAX EXEMPT 1 0 PAGE 1
FEDERAL EXCISE CHASE ORDER NUMB
ER
A_ .. ... 35-00 0972 EXEMPT.. PURCHASE
ONE CIVIC SQUxR= ...._._.. ..............
CARPEL,IPJ7IANA " ?2_2 0 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
12/6/2021 12/11/21 27062 353775 Service-Dump Fee
Greencycle of Indiana Parks Maintenance
400 Central Ave Ste 115 1427 E. 116th Street
VENDOR Northfield, IL 60093 To P Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT.., ........ ,.._.,�. , ..... ... ....... ..�. .........—.,.,..._. ,.�..... ....... —'__�.,,.,.e.
PAYMENTT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each dump fee-trailer $ 10.000 $ 10.00
GLAccount#1125402-4350400
Send Invoice To:
$ 10.00
PLEASE INVOICE IN DUPLICATE
M E....... w. wu.__ �. ........
DEPARTMENT 1 ACCOUNT PROJECT I 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 Neil Whitehead 0 G - - )
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Park Maintenance Foreman
CONTROLLER
DOCUMENT CONTROL NO. 5 ^" VENDOR COPY