HomeMy WebLinkAbout26271 Republic Services 0 QQ,,,,,, /f'I INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel. CERTIFICATE NO 003120155 002 0
y y �1/ a+s Y PURCHASE ORDER NUMBER
I 2
FEDERAL EXCISE TAX EXEMPT
35- 60000972 gqqq77
ONE CIVIC SQUARE THIS NUMBER MUST A gq PPCARION INVOICES, A/P
CARMEL, INDIANA 46032-2584 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
r,
212/2012
Republic Services SHIP Street Department
VENDOR
TO 3400 W. 131st Street
832 Lansdale Avenue Carmel, IN 46074
CONFIRMATION BLANKET COIPlIPAI pp )CIIS, IN 4b402 PAYMENT TERMS (311) (4•-10MIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
t
Account 0043 -501.00
1 Each trash collection $1,920.00 $1,920.00
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Total $1,920.0(
ii
PAI
I t Wr ti p
moo. -a
Send Involce' 1 .,/J'.
Street Department
'J
3400 W. 131st Street
Carmel, IN 46074 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
Carmel Street Department A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. $1,920.00
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
1( SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID!. THIS APPROPRIAT ON SUFFICIENT TO PAY FOR THE ABOVE ORDER.
D.Q.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY \b &L 1. A _A I
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. x
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE II_ i t Ji d I V
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I I
CLERK- TREASURER
DOCUMENT CONTROL NO. 26271 OFFICE COPY