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o Ik�J� Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
�J FEDERAL EXCISE TAX EXEMPT 29377
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 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
1/24/13 M000881 304011$ Janitorial Supplies
Ace-Pak Maint - ;E-C E
1 LG102. toub\e. I I
SHIP
VENDOR caryy.sek ' 1 4\120-s-5 TO JAN 2 4 2013
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
OUA•TITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
6 EA #15163271 - 12-16 Gal Trash Bags $24.49 $146.94
12 EA #15604348 - 56 Gal Trash Bags $26.99 $323.88
1 EA #15603858 - 60 Gal Trash Bags $24.99 $24.99
1 EA #63000423 - Purell Hand Sanitizer $41.99 $41.99
•
Send Invoice To
$537.80
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1125-4-01-4238900-Cleaning & Maint Supplies PAYMENT
• NP VOUCHER CANNOT BE APPROVID FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACKED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS IN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT 10 PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. Courtney Schlaegel - DK Qi. I -` i3
I
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ,�lh-L-� l
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS-.945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
29377 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY