37372 Cintas INDIANA RETAIL TAX EXEMPT PAGE 1
[j�� �-� CERTICATE NO03155 002 0 it`; €( :'_ Carmel PURCHASE ORDER NUMBER
�� r' FEDERAL EXCISE TAX EXEMPT 37372
35-60000972
,:.=:::m.:..',... pass-;(,4 • _ - 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
7/24/2014 07/26/14 2365 19'1000 Restroom restocking supplies
Cintas Corporation Parks Maintenance
P.O. Box 630803 1427 E. 116th Street ATTN: Courtney
VENDOR Cincinnati, OH 45263-0803 SHIP Carmel, IN 46032
TO
CONFIRMATION 1 BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE EXTENSION
6.000 case 9"Toilet paper rolls $42.0000 $252.00
2.000 case Centerpull paper towels $42.0000 $84.00
2.000 case Moisturizing green hand soap $42.0000 $ 84.00
1.000 case Hand sanitizer for parks $ 54.0000 $ 54.00
GLAccount# 1125401-4238900
Send Invoice To:
$474.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT �AACCCO-UUNT I PROJECT PROJECT ACCOUNT I AMOUNT
1 25 - 23 J Q O�OO PAYMENT
• NP 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 GE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Schlaegel kiLtAiep_pap_k_ 7/23)1
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37372 '.ENE OR COP'