51396 ACE-PAK PRODUCTS INC INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0..
,'. I . o ariiie
ty PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 51396
35-60000972
ONE CIVIC SQUARE
CARLIEL;,INDIANA"4602-2584 THIS NUMBER MUST APPEAR ON INVOICES,AIP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
-- - SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 '
PURCHASE ORDER DATE. DATE REQUIRED REQUISITION NO. VENDOR NO. . . .DESCRIPTION
5/22/2018 05/26/18 16407 366118 Outdoor park cleaning supplies
Ace-Pak Products Inc. Parks Maintenance
12602 Double Eagle'Drive 11427 E. 116th Street ATTN:Courtney
VENDOR Carmel,IN 46033 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT . . .:. PAYMENT TERMS. .. FREIGHT - -
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICEI EXTENSION
8.000 each 60060260-Rags in a box $ 13.4900 $ 107.92
15.000 each 15604349-56 gallon black trash liners $ 18.4900 $277:35
8.000 each 15334073-33x39 black can liners for dogpots $ 14.7900 $ 118.32
2.000 each 63000802-pine-sol 3 pk(or similar product) $29.4900 $58.98
10.000, each 63001042F-med nitrile gloves $.6.8900 $68.90
GLAccount#1125401=4238900
Send Invoice To:
$631.47
PLEASE INVOICE IN DUPLICATE
DEPARTMENT "' ACCOUNT I PROJECT "' PROJECT ACCOUNT I' AMOUNT
PAYMENT
.. • AlP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
_ • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE 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. 51396 VENDOR COPY