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INDIANA RETAIL TAX EXEMPT PAGE 1
dohCERTIFICATE NO.003120155 002 0
00 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 55151
II"air S C174°- Nittl • 35-60000972
THIS NUMBER MUST APPEAR ON INVOICES,A/P
Ca111142 I IN ', ��n.°;
�� 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
2/2/2021 02/06/21 24789 37,44• Central Park Aerator Parts
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
4.000 each Mfr. Model# 1 TDPS DAYTON Grainger Choice Product OEM $ 79.060 $ 316.24
Blower, Blower Outlet Shape Square, Blower Wheel Diameter
3 3/4 in Item# 1 TDPS
6.000 each Item# 1TNC4 Mfr. Model# E3607GRAINGER APPROVED $ 11.380 $ 68.28
Grainger Choice Product Power Cord, 14 AWG, Number of
Conductors 3, Rubber, Black, 15.0 A, 6 ft
GLAccount# 1125404-4237000
Send Invoice To:
$ 384.52
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. 55151 V IF;;;III D Ih I,,,