51845 ACE - PAK PRODUCTS INC. INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
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FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER51845
35-60000972
OHS CIVIC SQUARE
.CARMEL.INDIANA_. 0?2-2ERL THIS NUMBER MUST APPEAR ON INVOICES,AM
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
8/15/2018 08/19/18 17428 366118 Outdoor park cleaning supplies
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 cleaning towels $ 13.4900 $ 107.92
8.000 each 15604349 56 gal black trash bags $ 18.4900 $ 147.92
3.000 each 15334073-33x39 black liners for dog pot stations $ 14.7900 $44.37
10.000 each 63001043F-L Blue nitrile disposabl gloves large $6.8900 $68.90
GLAccount#1125401-4238900
Send Invoice To:
$369.11
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I 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 MUSTAPPEAR ON ALLSHIPPING LABELS. ORDERED BY Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 p
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE \\\\_/�V•
CLERK-TREASURER
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DOCUMENT CONTROL NO. 51845 VENDOR COPY