HomeMy WebLinkAbout103101 NORTHERN SAFETY CO 1ty
INDIANA RETAIL TAX EXEMPT Page 1 of 1
�1of �( a r}f'�� e1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
// J� \� JL Jl JL�j �jFEDERAL EXCISE TAX EXEMPT 103101
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
9/5/2019 226500 Gloves-Stock and Recruits
NORTHERN SAFETY CO, INC Carmel Fire Department
VENDOR PO BOX 4250 SHIP 2 Civic Square
TO Carmel, IN 46032-
UTICA, NY 13504-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
39476
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-560.03
156 Each Gloves $6.79 $1,059.24
Sub Total $1,059.24
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Send Invoice To: ... �. ''
Carmel Fire Department 4
2 Civic Square
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Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $1,059.24
SHIPPING INSTRUCTIONS '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
'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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder
TITLE Accreditation Budget Administrator
CONTROL NO. 103101 CLERK-TREASURER