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Car _� CERTIFICATE NO.003120155 002 0
c7 1 C : � _--
-- . PURCI IgSE pRDl=f2 NUMBER
FEDERAL EXCISE TAX EXEMPT 38245
35-60000972
�,- THIs NUMBER MUS C APPEAR ON INVOICES,<UP
VOUCHE=R,DELIVERY MEMO,PACKING SLIPS,
_ Si TIPPING LABELS AND ANY CORRESPONDENCE.
I-ORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE --_DATE REouini:J --- REQUISITION NO VENDOR NO ----------_._.—._.---�---DESCRIPTION------- ��-----_-----
3/24/2015 03/23/15 4570 Maintenance supplies
Grainger Inc Parks Maintenance
Dept 84751752.1 1427 E. 116th Street ATTN: Courtney
VENDOR Palatine, IL 60038-0001 SHHIP Carmel, IN 46032
CONIJI)MAIION HI ANKI=I CON RAC1 PAYMCN r'1rRMS f°FYPIGFIT
QUANTITY I UNIT OF MEASU121 _ -- --„ _,-_--. DESCRIPTON --- --___,- _-_—.-_- UNIT PRICE _,— EXTENSION
_000 4 000 each 20PF66 - "Slow Work Zone Ahead" signs-45" x 25" $ 97.4800 $ 389.92
4.000 each 3NKP8 - 1 gallon red safety gas cans with yellow pour spout $ 52.0400 $ 208.16
GLAccounttl 1125401-4238000
Send Invoice to
$ 59808
PLEASE INVOICE IN DUPLICATE
ULI Akt'R 41-N 1 ACCOLIN I 1'ROJI=C I' PROJI-LT ACCOUNT AMOUNT
PAYMENT
- A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
PART OE THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT(HERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
- Si ill'REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C O Si1IF ME=N1 S CANNOI ISF ACCE:-PI I D.
• I'URCI/ASP:ORDER Nl1MIFR MuSI APPI-AF)ON All SI IIPPINC]I AI/LI S ORDERED BY Courtney Welntraut 1�o: 1I
YI ITS OP/UI_I)ISSUE-I)IN COMPI.IANCI=WI I11 CI AP1142 99.AC I5 1045 "")ac
ANU Ac 1;5 AMENDATORY IIII_K,OF ANDSUPI'I-LMENT TT IE12Lr0, TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38245