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City of CairinriielCERTIFICATE
O PURCHASEORnERNUMBER
FEDERAL EXCISE TAX EXEMPT '®o7�U
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ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032'-2584 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
11/27/2017 319510 Work bench
GRAINGER INC Communications
VENDOR DEPT 847517521 SHIP 31 1st Avenue N.W.
TO
Cathie!, IN 46032-
PALATINE,IL 60038--0001 Timothy Renick (317)571-2576
PURCHASE ID BLANKET 7 CONTRACT PAYMENT TERMS FREIGHT
20943
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund.' 101 General Fund
Account: 44-630.00
1 Each Workbench, butcher block $899.24 $899.24
Sub Total $899.24
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Send Invoice To:
Communications '`'Quote No.2034660671 ��
Timothy Renick
31 1st Avenue N.W.
Carmel, IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I-PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $899.24
SHIPPING INSTRUCTIONS •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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL ,,----,-_,
*THIS ORDER,ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 / t
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY `
Timothy Renick
TITLE Director \\\
CONTROL NO. 100968 CLERK-TREASURER