37210 Cinta Corporation (� //``�� y INDIANA RETAIL TAX EXEMPT PAGE 1
_ C a r�� CERTIFICATE NO.003120155 002 0
City ;i\.l► {j {�-� PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 37210
35-60000972
__T., __. ,_ :l L L=,.•2- ..- THIS NUMBER MUST APPEAR ON INVOICES,NP
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
6/19/2014 06/23/14 2000 Restroom stocking supplies
Cintas Corporation Parks Maintenance
P.O. Box 630803 1427 E. 116th Street ATTN: Courtney
VENDOR Cincinnati, OH 45263-0803 TOHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
4.000 case 9"toilet paper rolls $42.00 $ 168.00
1.000 each Hand sanitizer gel $ 54.00 $54.00
1.000 each Urinal screens 10pk $ 15.00 $ 15.00
1.000 each center pull towels $42.00 $42.00
GLAccount# 1125401-4238900
Send Invoice To:
$279.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT ` AMOUNT
i l A 5 l tZ2D$Pi Q O 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 Courtney Schlaegel COL,_.; T`,D;._.,0A.i (.z !1 c[f`/
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 •I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37210 ',I N.DO- COP