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C1' of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER-NUMBER
ty FEDERAL EXCISE TAX EXEMPT 54265
35-60000972
ONE CIVIC SQUARE 1
CARIJEL, INDIANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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 REQUIS710N No, VENDOR NO.. DESCRIPTION
3/16/2020 03118/20 22971 Change:Parks Cleaning Supplies
Ace- Pak Products Inc. Parks Maintenance
12602 Double Eagle Drive 1427 E. 116th Street ATTW Courtney
VENDOR Carmel, IN 46033 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS "T FRUGHT
..............
QUANTITY UNIT OF MEASURE DESCRIPTION j UNIT PRICE EXTENSION
20.000 each Clorox wipes canisters, 85ct $4.000 $80,00
16.000 each Rags in a box $ 13.490 $ 215.84
1.000 each Clorox Multi-Surface Cleaner(9/cs) $38.250 $ 38.25
GLAccount# 1125401-4238900
Send Invoice To:
$ 334.09
PLEASE INVOICE IN DUPLICATE
DEPARTMENT PROJECTACCOUNT AMOUNT
PAYMENT
• AIP 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 CERTIFYTHAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
•
SHIP REPAID SUFFICIENT TO AY FOR THE ABOVE ORDER.
C O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS ORDERED By Dawn Koepper
THE ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54265 VENDOR COPY