216615 01/29/2013 a-- CITY OF CARMEL, INDIANA VENDOR: 366118 Page 1 of 1
` ONE CIVIC SQUARE ACE-PAK PRODUCTS INC CHECK AMOUNT: $1,373.61
CARMEL, INDIANA 46032 12602 DOUBLE EAGLE DRIVE
<oH CARMEL IN 46033 CHECK NUMBER: 216615
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4238900 A-3524 1, 373 . 61 OTHER MAINT SUPPLIES
ACE - PAK PRODUCTS INC.
12602 Double Eagle Drive
Carmel, IN 46033 Invoice Number: A-3524
Invoice Date: Jan 11, 2013
Page: 1
Voice: (317)614-7575 Duplicate
Fax: (317)614-7574
Bill To Ship to:
City of Carmel City of Carmel
Carmel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
USA USA
Customer ID Customer PO Payment Terms
031503 Net 30 Days
Sales Rep ID Shipping Method Ship Date �Due ate H and Deliver 1/11/13 13
Quantity Item Description Backorder Qty Unit Price Amount
9.00 63000459 DAWN LIQUID DISH DETERGENT 38 OZ 35,99 323.91
8/CS UM/CS
1.00 63000441 CLOROX GREEN WORKS LAUNDRY 39.99 39.99
DETERGENT 90 OZ 4/CS UM/CS
8.00 63000402 CASCADE POWDER DISH DETERGENT 29.49 235.92
75 OZ BOX 6/CS UM/CS
6.00 63000440 CLAIRE'S GERMACIDAL AEROSOL 43.99 263.94
CLEANER 20 OZ 12/CS UM/CS
15.00 60060261 SCOTT 75147 SHOP TOWEL ON ROLL 33.99 509.85
(55 COUNT] 12/CS UM/CS
Subtotal 1,373.61
Sales Tax
Freight
Total Invoice Amount 1,373.61
Check/Credit Memo No: Payment/Credit Applied
TOTAL 1,373.61
Irescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
A-3524 $1,373.61
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ace - Pak Products, Inc.
IN SUM OF $
12602 Double Eagle Drive
Carmel, IN 46033
$1,373.61
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 I A-3524 I 42-389.00 I $1,373.61 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
JAN 2 8 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund