HomeMy WebLinkAbout50598 NORTHERN SAFETY CO, INC I INDIANA RETAIL TAX EXEMPT PAGE 1
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CERTIFICATE N0.003120155 002 0 PURCHASE ORDER NUMBER
1
_ _.._.....E ...._.........,1 .... 0
FEDERAL EXCISE TAX EXEMPT 50598 _
35-60000972
i ONE CIVIC SQUARE ----- _._
CARRdEL,•INDIANA 46032-2E54 THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 ._I
PURCHASE ORDER DATE. DATE REQUIRED REQUISITION NO. r VENDOR NO. i DESCRIPTION
11/29/2017 11/27/17 114581 I 226500 =Safety supplies&equipment
Northern Safety Co.Inc. Parks Maintenance
P.O.Box 4250 1427 E.116th Street ATTN:Courtney
VENDOR Utica,NY 13504-4250 TOIP Carmel, IN 46032
CONFIRMATION' BLANKET ; CONTRACT ! PAYMENT TERMS 1 µ FREIGHT
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QUANTITY [UNIT OF MEASURE[ DESCRIPTION UNIT PRICE I EXTENSION
5.000 each #1715 Tasco Woodsman forestry system:6-Point Ratchet $38.6300 $193.15
Suspension Hard Hat,Visor Carrier, Face Shield,&Ear Muffs
5.000 each Item#22545 NS®WeatherGARD®Medium Weight Fleece $4.4900 $22.45
Lined Quilted Winter Hard Hat Liner
10.000 each 24711 OFF Deep Woods $7.6900 $76.90
12.000 each 26523 Ztek sunglasses $2.6700 $32.04
8.000 each 26491 OTG sunglasses $4.3900 $35.12
1.000 each Shipping $26.2600 $26.26
GLAccount#1125401-4239012
SCANNED
DEC -4 2011
Send Invoice To:
$385.92
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• AIP 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 UNOBIJGATED 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 Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE (�
CLERK-TREASURER \
DOCUMENT CONTROL NO. 50598 VENDOR COPY
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