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HomeMy WebLinkAbout37586 Northern Safety CompanyCity of Carmel INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35- 60000972 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 PAGE 1 PURCHASE ORDER NUMBER 37586 THIS NUMBER MUST APPEAR ON INVOICES. NP VOUCHER, DELIVERY MEMO. PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE, PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 9/11/2014 09/14/14 2873 Safety and cleaning supplies Northern Safety Co. Inc. P.O. Box 4250 VENDOR Utica, NY 13504 -4250 SHIP TO Parks Maintenance 1427 E. 116th Street ATTN: Courtney Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 16.000 each 16.000 each 8.000 each 4.000 each 10.000 each 5.000 each 1.000 each Send Invoice To: 17295 - Tolco 32oz. plain spray bottle 17286 - Tolco 32oz. bottle trigger 4164 - Tychem 28 "x36" splash apron 4534 - 12oz Technu poison ivy wash 26523 - Pyramex Zteck safety sunglasses 22888 - Headband earmuffs hearing protection Shipping GLAccount# 1125401- 4238900 PLEASE INVOICE IN DUPLICATE $ 0.9700 $ 0.9100 $ 2.3100 $ 10.1900 $ 2.8000 $ 24.4700 $ 21.6000 EXTENSION $ 15.52 $ 14.56 $ 18.48 $ 40.76 $ 28.00 $ 122.35 $ 21.60 $ 261.27 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1125 - LF238 qpQ SHIPPING INSTRUCTIONS SHIP REPAID. C D SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. PAYMENT AIP 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 AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER, ORDERED BY TITLE CLERK - TREASURER DOCUMENT CONTROL NO. 37586 VENDOR COPY Courtney Weintraut