52049 ACE-PAC PRODUCTS INDIANA RETAIL TAX EXEMPT PAGE 1
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ityCarmel
CERTIFICATE NO.003120155 002 0
O
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 52049
35-60000972
OWE CMC SQUARE
CARMEL,,'i js1AIIA 4E0?2-2E84 THIS NUMBER MUST APPEAR ON INVOICES.A/P
VOUCHER,DELIVERY MEMO,PACKING SUPS,
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
10/12/2018 10/17/18 17916 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 I EXTENSION
10.000 each 60060260 Rags in a box cleaning towels $ 13.4900 $ 134.90
12.000 each 15604349 56 gal black trash bags $ 18.4900 $221.88
2.000 each 15334073-33x39 black liners for dog pot stations $ 14.7900 $29.58
10.000 each 63001042F-M Blue nitrile disposabl gloves large $6.8900 $68.90
4.000 each 15704348-56 gallon clear trash bags $34.9900 $ 139.96
1.000 each 63000802- Pine-sol 3pk comparable $29.4900 $29.49
GLAccount#1125401-4238900
Send Invoice To:
$624.71
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 UNOBUGATED 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. 52049 VENDOR COPY