50233 ACE-PAK PRODUCTS INC D
RETAIL
City CERTIFICATE NO.003120155 002 0 I PURCHASE ORDER NUMBER
ofCarmelPT PAGE I
FEDERAL EXCISE TAX MPT
50233
3540000972
ONE CIVIC SCL'A+
C:1RiZEl_,Vdr';tFIA ?C.'r.-ct:4 VOUCHER,DEUVERY MEMO.ON INVOICES,
SUP NP
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8/15/2017 08/19/17 13892 366118 Cleaning supplies for Parks
Ace-Pak Products Inc. Parks Maintenance
12602 Double Eagle Drive 1427 E. 116th Street ATTN:Courtney
VENDOR Carmel,IN 46033 SHIP
HP Carmel, IN 46032
TO
CONFI*MATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE I DESCRIPTION I UNIT PRICE I EXTENSION
5.000 box Rags in a Box by Scott#60060260 $13.4900 $67.45
10.000 box 15604349-black trash can liners 56 gal $18.4900 $184.90
10.000 box 63001043F-LG Large blue nitrile disposable gloves $6.8900 $68.90
2.000 box 63000802-pine sol 3 pk $29.4900 $58.98
GLAccounl#1125401-4238900
Send Invoice To:
$380.23
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT
MP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MAD!A
PART OF TIE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN TINS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR TIN ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50233 VCNE`O ek.:i Y \ "'.\