51562 ACE-PAK PRODUCTS INC. INDIANA RETAIL TAX EXEMPT PAGE 1
Carmel
CERTIFICATE NO.003120155 002 0
c 'ity
1 PURCHASE ORDER NUMBER
v! FEDERAL EXCISE TAX EXEMPT 51562
35-60000972
ONE CMC SQUARE
CAMEL.iiIDI MA.: X22-2 .s 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
6/18/2018 06/19/18 16787 366118 Cleaning supplies for outdoor parks
Ace-Pak Products Inc. Parks Maintenance
12602 Double Eagle Drive 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46033 SOHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT ' PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
8.000 each 60060260-Rags in a box $ 13.4900 $ 107.92
5.000 each 15604349-56 gal black trash bags $ 18.4900 $92.45
2.000 each 15334073-33x39 black trash can liner $ 14.7900 $29.58
1.000 each 60025022-household 2ply toilet paper $39.9900 $39.99
GLAccount#1125401-4238900
•
Send Invoice To:
$269.94
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• NP 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-TREASURER4
DOCUMENT CONTROL NO. 51562 VENDOR COPY