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220048 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 366118 Page 1 of 1 ONE CIVIC SQUARE ACE-PAK PRODUCTS INC CHECK AMOUNT: $364.82 CARMEL, INDIANA 46032 12602 DOUBLE EAGLE DRIVE CARMEL IN 46033 CHECK NUMBER: 220048 CHECK DATE: 5/21/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4238900 A3824 213 . 86 OTHER MAINT SUPPLIES 1125 4238900 A3838 150 . 96 OTHER MAINT SUPPLIES 1 ACE.---PAK PRODUCTS'I NC. 1'2602 Double Eagle:•Drive Carmel.-,-,IN, 46'033' i -- Invoice Number: A-3824 - - CE 78D Invoice Date: Apr 29, 2013 MAY ® b 2013 Page: 1 Voice: (317)614-7575 Duplicate Fax: (317)614-7574 BY: Bill To: Ship to: Carmel Clay Parks& Recreation Carmel Clay Parks& Recreation 1411 East 116th Street 1235 Central Park Drive East Carmel, IN 46032 Attn: Kurtis Baumgartner USA Carmel, IN 46032 USA Customer ID Customer PO Payment Terms 031502 MC004044 Net 30 Days Sales Rep ID Shipping Method Ship Date Due Date Hand Deliver 4/29/13 5/29/13 Quantity Item Description Backorder Qty Unit Price Amount 4.00 63001042F NITRILE GLOVE POWDER FREE M 6.29 25.16 100/BOX UM/BOX 30.00 63001043F NITRILE GLOVE POWDER FREE LG 6.29 188.70 100/BOX UM/BOX Purchase- LUbbe) Glt�leg tv�r }yam Description PO.# MG00t{'044 PoO c.L.# 109(0-217 +25890D Budget Line Descr Purchaser Date Approval Date Subtotal 213.86 Sales Tax Freight Total Invoice Amount 213.86 Check/Credit Memo No: Payment/Credit Applied TOTAL I - PAK PRODUCTS I 2602 Double Eagle Drive Invoic umber: A-3838 Carmel, IN 46033 =Y: Invoi a Date: May 2, 2013 Page: 1 317 4-7575 Duplicate Fax: 17)614-7574 Bill To: Ship to: Carmel Clay Parks& Recreation Carmel Clay Parks& Recreation 1411 East 116th Street 1427 East 116th Street Carmel, IN 46032 Carmel, IN 46032 USA USA Customer ID Customer PO Payment Terms 031502 M000972 Net 30 Days Sales Rep ID Shipping Method Ship Date Due Date Hand Deliver 5/2/13 6/1/13 Quantity Item Description Backorder Qty Unit Price Amount 24.00 63001044F NITRILE GLOVE POWDER FREE XL 6.29 150.96 100/BOX UM/BOX Subtotal 150.96 Sales Tax Freight Total Invoice Amount 150.96 Check/Credit Memo No: Payment/Credit Applied TOTAL _ 150.96 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 366118 Ace - Pak Products Inc. Terms 12602 Double Eagle Drive Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO # Amount 4/29/13 A3824 Rubber gloves for Fitness $ 213.86 5/2/13 A3838 Gloves $ 150.96 i Total $ 364.82 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. 366118 Ace - Pak Products Inc. Allowed 20 12602 Double Eagle Drive Carmel, IN 46033 In Sum of$ $ 364.82 ON ACCOUNT OF APPROPRIATION FOR 101 General / 109 Monon Center PO#or Board Members Dept# INVOICE NO. ACCT#/TITL AMOUNT 1096-21 A3824 4238900 $ 213.86 1 hereby certify that the attached invoice(s), or 1125 A3838 4238900 $ 150.96 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 16-May 2013 Signature $ 364.82 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund