37682 Ace-Pak Products Inc City�//�����yyyy • /'y yyy INDIANA RETAIL TAX EXEMPT PAGE 1
„j,,.� Car e l CERTIFICATE AL EXCISE.007120155 002 0
'of yr PURCHASE ORDER NUMBER
FEDERAL E-5OOC TAX EXEMPT 37682
35-60000972
:2-2f E_ THIS NUMBER MUST APPEAR ON INVOICES.An,
VOUCHER.DELIVERY MEMO,PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE HOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER OATS DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1071312014 10114!14 3137 Trash bags for outdoor parks
Ace-Pak Products Inc. Parks Maintenance
12602 Double Eagle Drive 1427 E. 116th Street ATTN. Courtney
VENDOR Carnet, IN 46033 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE I EXTENSION
12.000 case 15604349-56 gallon trash bags $ 26.9900 $ 323.88
12.000 case 15603858-60 gallon trash bags $24.9900 $299.88
GLAccount( 1125401-4238900
Send Invoice To:
$623.76
PLEASE INVOICE IN DUPLICATE
OEPARTOENI 1 ACCOUNT
PROJECT I PROJECT ACCOUNT I AMOUNI
PAYMENT
- AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER IIAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SNIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER_
0.0.0 SHIPMENTS CANNOT RE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEARONAI.LSHIPPINGLABELS. ORDERED BY Courtney Weintraut yy �- 1 A. I Cs 3) (
1 HIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER M,AC I S 1545
• AND ACTS AMENDATORY THI:REOF AND SUPPLEMENT TREREI 0
TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37682 `>LNDOR COPY