37571 Ace-Pak ProductsCity iof Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAGE 1
PURCHASE ORDER NUMBER
37571
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER. DELIVERY MEMO, PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE F DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
9/8/2014
09/10/14
2855
Park cleaning supplies - Ace -Pak
Ace - Pak Products Inc.
12602 Double Eagle Drive
VENDOR Carmel, IN 46033
SHIP
TO
Parks Maintenance
1427 E. 116th Street ATTN: Courtney
Carmel, IN 46032
CONFIRMATION
HI, AN KET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
5.000
2.000
6.000
6.000
Send Invoice To.
each
case
each
each
63001044F -M - Medium nitrite disposable gloves
63000802 - Pine -sot (144oz, 3 per case)
15303671 - 30" x 36" Clear 13 Microns Thick 1500 / Case]
15604349 - 56 gallon trash bags
GLAccount 4 1125401- 4238900
PLEASE INVOICE IN DUPLICATE
$ 6.2900
$29.4900
$ 29.4900
$ 26.9900
EXTENSION
$ 31.45
$ 58.98
$ 176.94
$ 161.94
$ 429.31
DEPAR IMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT AMOUNT
/125- 4t2389o0
SHIPPING INSTRUCTIONS
• SHIP REPAID.
C O.O SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON AI.L SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945
AND ACTS AMENDA1 ORY THEREOF AND SUPPLEMENT THERETO.
PAYMENT
• AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE ANO VOUCHER HAS THE PROPER SWORN
AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY
TITLE
CLERK - TREASURER
DOCUMENT CONTROL NO. 37571 'VENDOR COPY
Courtney Weintraut
at)¢o v-p"' 9(2/01