HomeMy WebLinkAbout39313 Northern SafetyCity of Carmel
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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
39313
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
12/10/2015
12/08/15
7306
Safety Supplies for use and inventory
VENDOR
Northern Safety Co. Inc.
P.O. Box 4250
Utica, NY 13504-4250
SHIP
TO
Parks Maintenance
1427 E. 116th Street ATTN: Courtney
Carmel, IN 46032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY I UNIT OF MEASURE
30.000 each
20.000 each
10.000 each
20.000 each
10.000 each
10.000 each
1.000 each
12.000
20.000
2.000
2.000
10.000
each
each
each
each
each
1.000 each
Send Invoice To;
DESCRIPTION
UNIT PRICE
EXTENSION
26019 - Medium Mechanix utility work gloves
26019 - Large Mechanix utility work golves
26019 - X -Large Mechanix utility work gloves
26523 - Ztek® Gray Lens Safety Glasses
26491 - OTS® OTG Gray Lens Over -the -Glass Safety Glasses
26490 - OTS® OTG Clear Lens Over -the -Glass Safety
Glasses
EAR200 - 3M ClassicTM Uncorded NRR 29 Pillow PakTM
Disposable Ear Plugs, 200 Pair
4534 - Tecnu 12 oz. Bottle Poison Oak -N -Ivy® Cleanser
22886 - Leightning® L1 NRR 25 Ear Muffs
1997 - Croc Blok 34 oz. Bottle SPF 30 Sunscreen Lotion
20095 - 7000 Dust Masks, 50/Box
24711 - Off Deep Woods 6 oz. 25% DEET Insect Repellant
Aerosol Spray
1195 - Justrite 10 Gallon Steel Oily Waste Can
GLAccount# 1125401-4239012
PLEASE INVOICE IN DUPLICATE
$ 21.9600
$ 21.9600
$ 21.9600
$ 2.9600
$ 4.3900
$ 3.9900
$ 658.80
$ 439.20
$ 219.60
$ 59.20
$ 43.90
$ 39.90
$ 32.4900 $ 32.49
$ 9.8800
$ 10.6900
$ 35.8800
$ 9.4500
$ 7.6900
$ 118.56
$ 213.80
$ 71.76
$ 18.90
$ 76.90
$ 68.7800 $ 68.78
$ 2,061.79
SHIPPING INSTRUCTIONS
• SHIP REPAID.
. C.O.O SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, AC1S 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
PAYMENT
• AM VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER 15 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 S T' \,-7‘,ThrV 12knct
TITLE
CLERK -TREASURER
DOCUMENT CONTROL NO. 39313 VENDOR COPY