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( CERTIFICATEFEDERAL EXCISE TAX EXEMPT PURCH 101002
UMBER
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
12/4/2017 362620
GRAINGER Carmel Police Department
VENDOR DEPT 804510162 SHIP:: 3 Civic;Square
TO Carmel, IN 46032-
PALATINE, IL 60038 Blame Mallaber
PURCHASE ID BLANKET. CONTRACT PAYMENT TERMS FREIGHT
21210
QUANTITY UNIT OF MEASURE'! DESCRIPTION UNIT PRICE EXTENSION
Department; 1110 Fund: 101 General.Fund
Account: 42-352.0
2 302.00
1 Each Black Ribbon $120.42 $120.42
1 Each Vinyl Film $275.11 $275.11
Sub Total. $395.53
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Send Invoice
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Carmel Police Department
Accounts Payable" F d` .'
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $395.53
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 1945la. ��
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
\,jTITLEChief �
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CONTROL NO. 'I OO2 CLERK-TREASURER