HomeMy WebLinkAbout41613 ACE-PAK PRODUCTS INC. INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.OOS120155002 0 I PURCHASE ORDER NUMBER
City � FEDERAL EXCISE TAXXEMPT
E 41613
35-60000912
Mg CIVIC SQL'AR=
.;AR+'.UF-L,II:=I ..t,u.'.,eF.:4 THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO.PACKING SLIPS.
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
5/24/2017 05/28/17 12732 366118 Restroom cleaning supplies
Ace-Pak Products Inc. Parks Maintenance
12602 Double Eagle Drive 1427 E. 116th Street ATTN:Courtney
VENDOR Carmel,IN 46033 SHIP
HP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE I DESCRIPTION UNIT PRICE I EXTENSION
10.000 each 63001042F-Medium disposable gloves $6.8900 $68.90
10.000 each 63001043F-Larger disposable gloves $6.8900 $68.90
10.000 each 63001044F-XL disposable gloves $6.8900 $68.90
5.000 each 60060260-Rags in a box $13.4900 $67.45
2.000 each 63000802-Pine sol(similar)3pk $29.4900 $58.98
4.000 each 15704348-Clear trash bags 56 gal $34.9900 $139.96
8.000 each 15604349-56 gal black trash bags $18.4900 $147.92
GLAccount#11254014238900
Send Invoice To:
$621.01
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAT@IIENT
• AP 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 UNOSUGATED BALANCE IN THIS APPROPRIATION
SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
▪ COD SH PMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ONALL SHIPPING LABELS. ORDERED BY Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEIAENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 41613 VNO CC?Y