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26325 Cintas Corporation 318 INDIANA.RETAIL.TAX EXEMPT PAGE ��� ®� ��� ��' i l`� d'F'tpi CERTIFICATE`NO 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 26325 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 . 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 12/18/2012 Cintas Corporation #18 Street Department VENDOR Location 18 SHIP 3400 W. 131st Street TO P. O. Box 630803 . Carmel, IN 46074 Cincinnati, OH 45263-0803 (317) 733-2001 CONFIRMATION I& J jgOi8NTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 0043-565.01 1 Each laundry $6,600.00 $6,600.00 Sub Total: $6,600.00 tl1.. 0,00, f _ Of„/-,4 0 F:.,:.Cs-:.A.,..4)... 4,,,_'7 ,,,,E.L., 4 C 9•4 4A• ) le; • V• '4 ' ; 41 6.°-. N, �r c t k„N . . (a (t'e . iA s s .4 : * §. 't �, r` .: _ ° 0I C ° Send Invoice To: `.✓ f , , Street Department 3400 W. 131st Street Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Street Department PAYMENT $6,600.00 • 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 AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIF, 1E IS AN UNOBLIGATED BALANCE IN THIS APPROPRI•,•o / FZICIENT TO PAY FO-THE ABOVE ORDER. •SHIP REPAID. / + •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 26325 OFFICE COPY