51515 REPUBLIC SERVICES #761 INDIANA RETAIL TAX EXEMPT i 'PAGE 1City of Carmel ,
CERTIFICATE NO 003120155 002 0
•.--..-1PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPTm l
35.60000972 51515
DUE CPUC SQUARE __..__......_.._._..._._.___ .__._........._____..... _
—
CARMEL,INDIANA 46122-2n4 i THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER DELIVERY MEMO,PACKING SLIPS,
I SHIPPING LABELS AND ANY CORRESPONDENCE.
!FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 __ ,__
PURCHASE ORDER DATE DATE REQUIRED f REQUISITION NO VENDOR NO DESCRIPTION
6/6/2018 06/11/18 116675 _U-676-93 5q3 2018 Trash Services for Central Park West Commons
Republic Services#761 Parks Maintenance
P O Box 9001099 1427 E. 116th Street ATTN:Courtney
VENDOR Louisville,KY 40290-1099 TO P Carmel, IN 46032
-CONFIRMATION I BLANKET i CONTRACT -- -� � PAYMENT TERMS _._._..........�. -....., .......N FREIGHT
I
I t
QUANTITY 1 UNIT OF MEASURE, DESCRIPTION C.... I....._....._....EXTENSION
...........:.. ...
_. .....__ „. __ ..... .....__._.... .__ UNIT PRICE EXTENSION
2.000 each Setup and Delivery of new waste containers $10.0000 $20.00
9.000 each Monthly trash and recycle bin emptying from West Commons $261.6600 $2,354.94
April 2018-December 2018
GLAccount#1125401-4350101
Send Invoice To:
$2,374.94
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT PROJECT ACCOUNT 1. AMOUNT
PAYMENT
• AM 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 Courtney Weintraut
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER bo
DOCUMENT CONTROL NO. 51515 VENDOR COPY
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