HomeMy WebLinkAbout55817 ACE-PAK PRODUCTS INC INDIANA RETAIL TAX EXEMPT PAGE 1
0,Cit .lyrCERTIFICATE NO.003120155 002 0
i N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT
35-60000972 55817
ONE CIVIC SQUARE
CA RM E L,IN DIA NA 460 32.-.256,4 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
8/11/2021 08/15/21 26263 366118 Park Cleaning Supplies week ending 8/13/21
Ace- Pak Products Inc. Parks Maintenance
12602 Double Eagle Drive 1427 E. 116th Street ATTN: Audrey Cooper
VENDOR Carmel, IN 46033 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
10.000 each 15604349 B-56 Gallon trash bags black $ 18.490 $ 184.90
4.000 each 15704348-56 gallon trash back clear $ 34.990 $ 139.96
3.000 each 15334073-33 gallon black trash bag $ 14.790 $44.37
5.000 each Lysol Spray refills(40oz) $4.950 $24.75
1.000 each Lysol Spray 32oz bottles, 8/case $29.920 $29.92
GLAccount# 1125401-4238900
Send Invoice To:
$423.90
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 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 Audrey Cooper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE PNR Maintenance Coordinator
CONTROLLER
DOCUMENT CONTROL NO. 55817 4:;4: IF Y