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GRAINGER® PAGE 1 OF 2 ORIGINAL INVOICE
GRAINGER ACCOUNT NUMBER 813555497
!II INVOICE NUMBER 9456623785
9210 CORPORATION DR. INVOICE DATE 05/26/2017
INDIANAPOLIS, IN 46256-1017 DUE DATE 06/25/2017
www.grainger.com AMOUNT DUE 44.17
PO NUMBER: 517240
DEPARTMENT: DISPENDING MACHINE 4
PROJECT/JOB: 7082466
BILL TO REQUISITIONER: JEFF COOPER
CALLER: BLAINE MALLABER
MDG2017 00001664 1 AB 0403 CUSTOMER PHONE: (999)999-9999
ORDER NUMBER: 1292091182
INCO TERMS: FOB ORIGIN
CARMEL WASTEWATER
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280-2935
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THANK YOU! FEI NUMBER 36-1150280
FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643
•• ITEM# DESCRIPTION QUANTITY UNIT PRICE TaOTAL
LINE#
The following items were for:
DISP MACH 4566
CARMEL WASTEWATER
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280
000001 24WJ88 K01-20120182 HAND CLEANING TOWELS,10"X 1 9.31 9.31
CUST PART# 24WJ88
MACH 4566 HAND CLEANING TOWELS 10 INCH
MANUFACTURER#42272
000002 2TFX1 K01-25334828 SAFETY GLASSES,CLEAR 1 1.63 1.63
CUST PART# 2TFX1
MACH 4566 SAFETY GLASSES CLEAR
MANUFACTURER#A800
000003 1AV08 K01-25233098 JERSEY GLOVES,POLY/COTTON, 14 0.45 6.30
CUST PART# 1AV08
MACH JERSEY GLOVES POLY/COTTON L BROWN
MANUFACTURER# 1AV08
000004 111<777 K01-20106983 HIGH VISIBILITY VEST,CLASS 1 10.84 10.84
CUST PART#SPOTBUY
CONTINUED
THIS PURCHASE IS GOVERNED EXCLUSIVELY BY GRAINGER's TERMS OF SALE,INCLUDING:(i)DISPUTE RESOLUTION REMEDIES, INVOICE SUB TOTAL 44.17
AND(h)CERTAIN WARRANTY AND DAMAGES LIMITATIONS AND DISCLAIMERS IN EFFECT AT THE TIME OF THE ORDER,WHICH
ARE INCORPORATED BY REFERENCE HEREIN.GRAINGER's TERMS OF SALEARE AVAILABLE AT WWW.GRAINGERCON
PRODUCT RETURN INSTRUCTIONS ARE AVAILABLE AT WWW GRAINGER.COM/RETURNS.
These items are sold for domestic consumption. If exported,purchaser assumes full responsibility
for compliance with US export controls. Diversion contrary to US law prohibited.
PAY THIS INVOICE-,NO STATEMENT WILL BE SENT.PAYMENT TERMS NET 30 DAYS IN U.S.DOLLARS. AMOUNT DUE 44.17
I - - — - -- - - ..- - .. ----
PAGE 2 OF 2 O • INVOICE
CRAINCER®
GRAINGER ACCOUNT NUMBER 813555497
�1INVOICE NUMBER 9456623785
9210 CORPORATION DR. INVOICE DATE 05/26/2017
INDIANAPOLIS, IN 46256-1017 DUE DATE 06/25/2017
AMOUNT DUE 44.17
BILL TO:
CARMEL WASTEWATER
9609 HAZEL DELL PKWY
INDIANAPOLIS,IN 46280-2935 SHIP TO:
DISP MACH 4566
CARMEL WASTEWATER
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280
DESCRIPTIONPO ITEM# QUANTITY UNIT PRICE TOTAL
LINE#
NA SPOTBUY
MANUFACTURER# 11K777
000005 4VAW6 K01-25436325 SAFETY GLASSES,SILVER MIRRO 1 5.23 5.23
CUST PART#4VAW6
MACH SAFETY GLASSES SILVER MIRROR
MANUFACTURER#4VAW6
000006 11K778 K01-20106983 HIGH VISIBILITY VEST,CLASS 1 10.86 10.86
CUST PART#SPOTBUY
NA SPOTBUY
MANUFACTURER# 11K778
Delivery#6361426556 Date: 05/26/2017
Carrier: UPS GROUND No. of pkgs: 1 Wt: 4.83
Trk#: 1ZY624020302151882
SHIPPED FROM: DC MINOOKA, IL-005
701 GRAINGER WAY MINOOKA IL 60447-9998
mi
2 0002563 P