51931 ACE-PAK PRODUCTS, INC INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
City
PURCHASE ORDER NUMBER
o` FEDERAL EXCISE TAX EXEMPT 51931
35-60000972
OIHE CMC SQUARE
CARMEL.,Fl t411A4€€32-2EE= THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DEUVERY 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
9/13/2018 09/18/18 17642 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 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 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
2.000 each 15334073-33x39 black liners for dog pot stations $ 14.7900 $29.58
10.000 each 63001044F-XL Blue nitrile disposabl gloves large $6.8900 $68.90
GLAccount#1125401-4238900
Send Invoice To:
$354.32
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 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. 51931 VENDOR COPY