HomeMy WebLinkAbout55754 ACE-PAK PRODUCT INC-REVISED INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
(2-;107 111, ' ' ' '' 1 , ' ,
N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT
55754
35-60000972
ONE CIVIC SQUARE
CARMEL,INDIANA 4E0 32-2584 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
8/31/2021 07/31/21 26405 366118 Change: Park Cleaning Supplies week ending 7/30/21
Ace- Pak Products Inc. Parks Maintenance
12602 Double Eagle Drive 1427 E. 116th Street ATTN: Audrey
VENDOR Carmel, IN 46033 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
15.000 each 60060260 Rags in a box cleaning towels $ 13.490 $202.35
5.000 each 15604349 B-56 Gallon trash bags black $ 18.490 $ 92.45
4.000 each 63001042F- MED Blue Nitrile Disposable Gloves, Powder $ 14.990 $ 59.96
Free
5.000 each 63001044F XL Blue Nitrile Disposable Gloves, Powder Free $ 14.990 $ 74.95
10.000 each Private Label Wipe Canisters $ 3.950 $ 39.50
GLAccount# 1125401-4238900
Send Invoice To:
$469.21
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 Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Purchasing Administrator
CONTROLLER
DOCUMENT CONTROL NO. 55754 VII=::INIDO COPY