50741 ARAB TERMITE PEST CONTROL INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
' - • o
Cannel
_ PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
50741
35-60000972
CIARMELAIDIANA480322534 THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER.DEUVERY 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
1/5/2018 01/10/18 14948 358491 Admin Office 2018 monthly pest contol
Arab Termite&Pest Control In MCC-West
4035 Millersville Rd 1235 Central Park Drive East
VENDOR Indianapolis,IN 46205
SHIP
o P Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY [UNITOF MEASURE DESCRIPTION 1 UNIT PRICE EXTENSION
12.000 each Jan 2018—Dec 2018 AO pest control $50.0000 $600.00
GLAccount#1125402-4350100
Send Invoice To:
$600.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT r ACCOUNT ' PROJECT l PROJECT ACCOUNT 1 AMOUNT
PAYMENT
AIP 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 UNOBUGATED 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 Freddy Delfin
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE -
J
\V,
CLERK-TREASURER �
DOCUMENT CONTROL NO. 50741 VENDOR COPY