52041 CINTAS CORPORATION INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE N0.003120155 002 0
I PURCHASE ORDER NUMBER
City �• Car `"' e F FEDERAL EXCISE TAX EXEMPT
52041
35-60000972
O13E CMC SQUARE
i~'.=:RI1=L.OMAHA 4..032-2s.S. THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY MEMO,PACKING SUPS,
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
10/12/2018 10/16/18 17915 197000 Restroom restocking supplies 10/15/18
Cintas Corporation Parks Maintenance
P.O. Box 630803 1427 E. 116th Street ATTN: Courtney
VENDOR Cincinnati, OH 45263-0803 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
8.000 each 7702-9"Toilet paper $44.9400 $359.52
3.000 each Foaming hand soap $44.9400 $ 134.82
12.000 each Citrus air freshener $3.0800 $36.96
GLAccount#1125401-4238900
Send Invoice To:
$531.30
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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 Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 52041 VENDOR COPY „�,{