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241439 01/27/15 "'A+, CITY OF CARMEL, INDIANA VENDOR: 366118 d ONE CIVIC SQUARE ACE-PAK PRODUCTS INC CHECK AMOUNT: $*******520.85* s_ CARMEL, INDIANA 46032 12602 DOUBLE EAGLE DRIVE CHECK NUMBER: 241439 9�'�?roN`c�� CARMEL IN 46033 CHECK DATE: 01/27/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4238900 A5106 520.85 OTHER MAINT SUPPLIES A 1? ACE - PAK PRODUCTS INC. 12602 Double Eagle Drive Carmel, IN 46033 � � .�.1��;�''TT,p�� Invoice Number: A-5106 Invoice Date: Jan 14,2015 JAN 1 5 2015 Page: 1 Voice: (317)614-7575 B Y: Duplicate Fax: (317)614-7574 Bill To: Ship to: Carmel Clay Parks& Recreation Carmel Clay Parks& Recreation 1411 East 116th Street 1235 Central Park Drive East Carmel, IN 46032 Attn: Jim or Mike USA Carmel, IN 46032 USA Customer ID Customer PO Payment Terms 031502 - 37971 -Net 30 Days - - -- - - Sales Rep ID Shipping Method Ship Date Due Date Hand Deliver 1 1/14/15 2/13/15 Quantity Item Description Backorder Qty Unit Price Amount 5.00 60080343 ECOSOFT 2PLY FACIAL TISSUE#13000 22.49 112.45 30/CS UM/CS 5.00 15604349 CAN LINER BLK 43!'X 48" 26 MIC 18.49 92.45 100/CS UM/CS 2.00 63000404 ONE SHOT[750386#] HAND FOAM 71.99 143.98 SOAP REFILL-1600 ML BOTTLES 4/CS UM/CS 2.00 63000500 CHANGING STATION PROTECTIVE 69.99 139.98 LINERS 500/CS UM/CS 1.00 63000721 ELIMINATOR DRAIN MAINTAINER 1QT 31.99 31.99 12/CS UM/CS Subtotal 520.85 Sales Tax Freight Total Invoice Amount 520.85 Check/Credit Memo No: Payment/Credit Applied TOTAL 520.85 ACCOUNTS PAYABLE VOUCHER , CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 366118 Ace - Pak Products Inc. Terms 12602 Double Eagle Drive Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1/14/15 A5106 Cleaning supplies 37971 $ 520.85 Total $ 520.85 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer I Voucher No. Warrant No. 366118 Ace- Pak Products Inc. Allowed 20 12602 Double Eagle Drive Carmel, IN 46033 In Sum of$ $ 520.85 1 ON ACCOUNT OF APPROPRIATION FOR i 109 -Monon Center PO#or Board Members Deptept# INVOICE NO. ACCT#/TITLE AMOUNT 1093 A5106 4238900 $ 520.85 j 1 hereby certify that the attached invoice(s), or i, bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except i I January 22, 2015 1 Signature i $ 520.85 { Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund i