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241637 02/03/15 cqy . CITY OF CARMEL, INDIANA VENDOR: 366118 d i'r ONE CIVIC SQUARE ACE-PAK PRODUCTS INC CHECK AMOUNT: $"*"***381.84` CARMEL, INDIANA 46032 12602 DOUBLE EAGLE DRIVE CHECK NUMBER: 241637 A ? CRMEL IN 46033 CHECK DATE: 02/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4238900 A5113 65.96 OTHER MAINT SUPPLIES 1120 4239099 A5113 315.88 OTHER MISCELLANOUS ACE - PAK PRODUCTS INC. U Mw®ucl� 12602 Double Eagle Drive Carmel, IN 46033 Invoice Number: A-5113 Invoice Date: Jan 22, 2015 Page: 1 Voice: (317)614-7575 Duplicate Fax: (317)614-7574 Bill To: Ship to: City of Carmel City of Carmel Carmel Fire Department Carmel Fire Department 2 Civic Square 3610 W 106th St[STATION 42] Carmel, IN 46032 Carmel, IN 46032 USA USA Customer ID Customer PO Payment Terms 031503 Net 30 Days Sales Rep ID Shipping Method Ship Date Due Date Hand Deliver 1/22/15 2/21/15 Quantity Item Description Backorder Qty Unit Price Amount 4.00 63000417 SCOTCH-BRITE SCRUB SPONGE 16.49 65.96 HEAVY-DUTY 4.5 X 2.7 X 0.6 21/CS UM/CS 4.00 60032307 KRAFT MULTIFOLD PAPER TOWEL 25.99 103.96 4M/CS UM/CS 4.00 60070310 WHITE HOUSEHOLD PAPER TOWEL 2 23.99 95.96 PLY[85 SHEETS] 30 ROCS UM/CS 4.00 62000212 12 OZ FOAM CUPS 1M/CS UM/CS 28.99 115.96 Subtotal 381.84 Sales Tax Freight Total Invoice Amount 381.84 Check/Credit Memo No: Payment/Credit Applied TOTAL 381.84 i prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or 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. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) A5113 $315.88 A5113 $65.96 1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Ace - Pak Products, Inc. IN SUM OF $ 12602 Double Eagle Drive Carmel, IN 46033 $381.84 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1120 A5113 42-390.99 $315.88 1 hereby certify that the attached invoice(s), or 1120 A5113 42-389.00 $65.96 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 FEB Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund