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CERTIFICATEINDIAA NO.ETAI 003120155TAEXEMPT 002 0 PAGE 1
C itY 0 ku i N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT 54121
35-60000972
ONE crnc SQUARE
CARMEL,INDIAILIA 4/90 32-258 4 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
2/12/2020 02/16/20 22675 319510 Restroom Deodorizing Supply and Key Tool
Grainger Inc Parks Maintenance
Dept 847517521 1427 E. 116th Street ATTN: Courtney
VENDOR Palatine, IL 60038-0001 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2.000 each #38HV31 - REED 5-1/2" Meter Key, Length: 5-1/2" Mfr. Model $29.280 $ 58.56
# MKF2
GLAccount# 1125401-4238000 = $ 58.56
8.000 each #18E877- 1 gallon Tough Guy Cherry fragrance Portable Toilet $24.800 $ 198.40
Deodorizer
GLAccount# 1125404-4238900 = $ 198.40
Send Invoice To:
$256.96
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
CLERK-TREASURER
DOCUMENT CONTROL NO. 54121 VIE lNlDO1R GOODY