HomeMy WebLinkAbout38910 Northern Safety Co Inc INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0 City Io C,arme PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 38910
. . .. .
.
35-60000972
. . ONE CUICSQUARE .
. . .
.
CARM L,1110iAII.A'4602-25 S4. THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY 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
8/5/2015 08/05/15 6189 Safety supplies for staff and inventory
Northern Safety Co. Inc. Parks Maintenance
P.O. Box 4250 1427 E. 116th Street ATTN: Courtney
VENDOR Utica, NY 13504-4250 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE I DESCRIPTION UNIT PRICE 1 EXTENSION
3.000 each 26019-XL general utility work gloves $21.9600 $65.88
3.000 each 26019-L general utility work gloves $21.9600 $65.88
2.000 each 22888- Headband earmuffs $26.3600 $52.72
2.000 each 26019- M Utility work gloves $21.9600 $43.92
5.000 each 26523-Pyramex Zteck safety sunglasses $2.5000 $ 12.50
1.000 each Shipping & Handling $ 17.6400 $ 17.64
GLAccountft 1125401-4239012
•
Send Invoice To:
$258.54
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT
• NP 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 �\ „ Sk.5.) \.(f-D
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 I
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO.
TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38910 VENDOR COPY
I