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City of C CERTIFICATE NO.003120155 002 0
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FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER55990
35-60000972
ONE CIVIC SQUARE
CA,RMFL, II,IDLAI+IA 46032-2E04 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
10/12/2021 10/16/21 26695 366118 Park Cleaning Supplies week of 10/11/21
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
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
12.000 each 60060260 Rags in a box cleaning towels $ 13.490 $ 161.88
2.000 each 13250 Windex Refill Bottles $6.990 $ 13.98
1.000 each Lysol Power Toilet Bowl Cleaner(Case of 12) $28.560 $28.56
6.000 each Lysol Spray refills (40oz) $4.950 $29.70
4.000 each 15334073- 33 gallon black trash bag $ 14.790 $59.16
6.000 each 15604349 B- 56 Gallon trash bags black $ 18.490 $ 110.94
GLAccount# 1125401-4238900
Send Invoice To:
$404.22
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. 55990 VENDOR(:,OPY