51653 ACE - PAK PRODUCTS, INC LICarmel
INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0; ;, PURCHASE ORDER NUMBER
City FEDERAL EXCISE TAX EXEMPT 51653
35-60000972
ONE WC SQ RE
CARMEL,INDIANA i:C 2-2S-`._< 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
7/6/2018 07/10/18 17011 366118 Cleaning supplies four outdoor parks
Ace-Pak Products Inc. Parks Maintenance
12602 Double Eagle Drive 1427.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 PRICE I EXTENSION
12.000 each 60060260- Rags in a box $ 13.4900 $ 161.88
10.000 each 15604349-56 gallon black trash can liners $ 18.4900 $ 184.90
3.000 each 60082260-sanitary waxed paper liner $ 17.9900 $53.97
10.000 each 63001042F- MED blue nitrile disposable gloves $6.8900 $68.90
GLAccount#1125401-4238900
Send Invoice To:
$469.65
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• A/P 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. 51653 VENDOR COPY