HomeMy WebLinkAbout57016 ACE-PAK PRODUCTS INC INDIANA RETAIL TAX EXEMPT PAGE 1
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yar Ili 1 o CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT 57016
35-60000972
ONE CIVIC SQUARE
CARMEL,INDIANA 4E0 32_2 84 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
8/2/2022 08/06/22 29010 366118 Park Cleaning Supplies Week of 8/1/22
Ace- Pak Products Inc. Parks Maintenance
12602 Double Eagle Drive 1427 E. 116th Street
VENDOR Carmel, IN 46033 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
12.000 each 60060260 Rags-In-a-Box $ 12.490 $ 149.88
12.000 each 15604349 Black Can Liner 43x48, 56 gal (trash) $21.490 $257.88
8.000 each 63001042F Nitrile Disposable Gloves Powder Free(M) $ 14.990 $ 119.92
8.000 each 6301043F Nitrile Disposable Gloves Powder Free (L) $ 14.990 $ 119.92
5.000 each 63000805 Private Label Wipe Canisters (1) $ 3.950 $ 19.75
GLAccount# 1125402-4238900
Send Invoice To:
$ 667.35
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 Cody McCollum
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Parks Coordinator
CONTROLLER
DOCUMENT CONTROL NO. 57016 VIE INDO COIPY