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CERTNFICATE NO.003120155 002 0
Carmel
PURCHASE ORDER NUMBER
City of FEDERAL EXCISE TAX EXEMPT 54230
35-60000972
ONE CIVIC SlaILI RE
CARMEL, INDIANA 46032-25S4 THIS NUMBER MUST APPEAR ON INVOICES,AiR
VOUCHER,DELIVERY MEMO PACKING
PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 C SHIPPING LABELS AND ANY
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
31/6/2020 03/10/20 22882 36611$ Parks Cleaning Supplies week ending 3/6/20
Ace- Pak Products Inc, Parks Maintenance
12602 Double Eagle [give 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 UNIT PRICE EXTENSION
20,000 each 63001042F-Medium blue nitrile gloves $ 6,890 $ 137.80
20.000 each 63001043F-Large blue nitrile gloves $ 6,890 $ 137.80
20.000 each 63001044F-Extra Large blue nitrile gloves $ 6,890 $ 137.80
10,000 each 15604349-56 gallon trash bags black $ 18.490 $ 184.90
5.000 each 15704348-clear 56 gallon trash bags $34,990 $ 174.95
2,000 each 15334073-Black can liner for dog pots $ 14.790 $29.58
20,000 each 60060260 Rags in a box cleaning towels $ 13.490 $269.80
3.000 each 63000802_ PineSol 3pk $29A90 $ 88.47
GLAccount# 1 1 2 540 1-4238900
Send Invoice To:
$ 1,161.10
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A1P 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 YVeintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54230 VENDOR COPY