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CERTIFICATEINDINA NO.RETAIL 003120155TAEXEMPT 002 0 PAGE 1
C itY 0 i N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT 54405
35-60000972
ONE crnc SQUARE
CARMEL,INDIANA 46032-2584 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
5/11/2020 05/13/20 23225 370440 Safety Barricade&Maintenance Supplies
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
5.000 each 3YJA5 Retractable Barrier Tape, Orange, 156" Length, 3" $ 60.350 $ 301.75
Width, 9" Height, 3 lb. Weight, Plastic
3.000 each 6FGY4 Slip Over Cone Weight, Black, 13" Length, 13"Width, 1 $ 17.010 $ 51.03
-1/4" Height, 5 lb.Weight, Rubber
10.000 each 53YL05 Yellow/Green, Silver, Traffic Vest, Type R, Class 2, $ 11.870 $ 118.70
Hook-and-Loop, L/XL 53YL05
GLAccount# 1125401-4239012
Send Invoice To:
$471.48
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 ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54405 VIE 1NID 0 IR CO Y