HomeMy WebLinkAbout54449 NORTHERN SAFETY CO INC CERTIFICATE INDIANA RETAINO.L TAX EXEMPT 0 PAGE 1
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0 9 i N PURCHASE ORDER NUMBER
itY U FEDERAL EXCISE TAX EXEMPT 54449
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
5/26/2020 05/31/20 23311 226500 Safety Supplies for PNR Staff
Northern Safety Co. Inc. Parks Maintenance
P.O. Box 4250 1427 E. 116th Street ATTN: Courtney
VENDOR Utica, NY 13504-4250 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
15.000 each Croc Bloc TM 6 oz. Tube SPF 30 Sunscreen Cream Item# 1993 $ 11.460 $ 171.90
1.000 each Splinter OutTM First Aid Splinter Removers, 20/Hinged Box $2.810 $2.81
Item#7355
6.000 each Tick StuffTM Bug Repellant Clothing Treatment Spray, 6 oz. $ 5.080 $ 30.48
Item#28929
8.000 each Certified Safety Tick Removal First Aid Kit Item#28142 $ 7.100 $ 56.80
GLAccount# 1125401-4239012
Send Invoice To:
$261.99
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. 54449 VIE 1NID 0 IR CO Y