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4. ±ty 0f } CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 53585
35-60000972
OldE MC SQUARE
CARMEL,IFIOI=`'I = 032-2z THIS NUMBER MUST APPEAR ON INVOICES,
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
9/23/2019 09/25/19 21505 366118 Outdoor Park Cleaning Supplies week of 9/23/19
Ace-Pak Products Inc. Parks Maintenance
12602 Double Eagle Drive 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46033 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE I EXTENSION
16.000 each 60060260 Rags in a box cleaning towels $ 13.490 $215.84
8.000 each 15604349 56 gal black trash bags $ 18.490 $ 147.92
6.000 each 15334073-Black can liner for dog pots $ 14.790 $88.74
6.000 each 15704348-clear 56 gallon trash bags $34.990 $209.94
10.000 each 63001042F- Medium blue nitrile gloves $6.890 $68.90
GLAccount#1125401-4238900
Send Invoice To:
$731.34
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I 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 \\I°
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE ,,,6 )\\{l
CLERK-TREASURER \,v
DOCUMENT CONTROL NO. 53585 VENDOR COPY