HomeMy WebLinkAbout38119 Northern SafetyCity 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
38119
THIS NUMBER MUST APPEAR ON INVOICES. A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
2/24/2015
02/25/15
4312
Safety supplies for staff and back up inventory
Northern Safety Co. Inc.
P.O. Box 4250
VENDOR Utica, NY 13504 -4250
CONFIRMATION
BLANKET
CONTRACT
SHIP
TO
Parks Maintenance
1427 E. 116th Street ATTN: Courtney
Carmel, IN 46032
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE_
DESCRIPTION
UNIT PRICE I EXTENSION
2.000 each 26019 - MEDIUM General Utility work gloves $ 21.9600 $ 43.92
3.000 each 26019 - LARGE General utility work gloves $ 21.9600 $ 65.88
3.000 each 26019 - XLARGE General utility work gloves $ 21.9600 $ 65.88
2.000 each 23259 - MEDIUM orange safety vests $ 13.9900 $ 27.98
2.000 each 23259 - LARGE orange safety vests $ 13.9900 $ 27.98
2.000 each 23259 - XLARGE orange safety vests $ 13.9900 $ 27.98
2.000 each 23259 - XXLARGE orange safety vests $ 13.9900 $ 27.98
1.000 each 26490 - Pyramex over the glass safety glasses clear $ 3.9900 $ 3.99
5.000 each 26521 - Pyramex clear safety glasses $ 2.7100 $ 13.55
10.000 each 26523 - Pyramex safety sunglasses $ 3.1200 $ 31.20
1.000 each 26491 - Pyramex over the glass safety sunglasses $ 4.3900 $ 4.39
2.000 each 22888 - Headband earmuffs hearing protection $ 26.3600 $ 52.72
2.000 each 30962 - Disinfectant alcohol wipes $ 2.5600 $ 5.12
2.000 each 1580 - Superband 100pk bandages $ 4.4900 $ 8.98
2.290 each 24799 - Medifirst single use eye wash $ 16.0000 $ 36.64
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
$ 585.14
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
SHIPPING INSTRUCTIONS
• SKIP REPAID.
• C.O.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 Courtney Weintraut (-). Z 12 yIl s
TITLE
CLERK - TREASURER
DOCUMENT CONTROL NO. 38119 VENDOR COPY