HomeMy WebLinkAbout53555 NORTHERN SAFETY CO INC INDIANA RETAIL TAX EXEMPT PAGE 1
lty E CERTIFICATE NO.003120155 002 0
f Carmel FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER
53555
35-60000972
ONE.CVIC SQUARE
CARREL,INDI.NA&O32-2EE4 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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9/18/2019 09/16/19 21415 226500 Traffic Barricade Equipment
Northern Safety Co. Inc. Parks Maintenance
P.O. Box 4250 1427 E. 116th Street ATTN: Courtney
VENDOR Utica, NY 13504-4250 To P Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
6.000 each #7765 Instant A Frame Barricade Legs $51.130 $306.78
6.000 each #7771 Two sided reflective barrier board $62.520 $375.12
4.000 each #7249 Type II plastic folding barricade $79.290 $317.16
1.000 each Shipping Charge $ 102.660 $ 102.66
GLAccount#1125401-4239012
Send Invoice To:
$ 1,101.72
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P 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 UNOBLIGATED 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 r�\
CLERK-TREASURER
DOCUMENT CONTROL NO. 53555 VENDOR COPY