HomeMy WebLinkAbout55645 NORTHERN SAFETY CO INC INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
(24 ty
ar N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT
55645
35-60000972
ONE CIVIC SQUARE
CA RM E L,IN DIA NA 460 32.-.256,4 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
7/1/2021 07/05/21 25895 226500 PNR Safety Supplies
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
6.000 each Tick StuffTM Bug Repellant Clothing Treatment Spray, 6 oz. $ 5.080 $ 30.48
Item#28929
6.000 each AfterBite®0.5 oz.Advanced Formula Applicator Tube Insect $4.030 $24.18
Bite Itch Relief Liquid Item# 12238
4.000 each NSI Tick Removal First Aid Kit Refill Item#4248 I $ 8.390 $ 33.56
10.000 each Splinter OutTM First Aid Splinter Removers, 20/Hinged Box $2.810 $28.10
Item#7355
2.000 each CoreTex® IvyX Pre-Contact Poison Ivy, Oak, &Sumac $ 14.890 $29.78
Towelettes, 25/Box Item#24848
4.000 each CoreTex® IvyX Post-Contact Poison Ivy, Oak, &Sumac $ 8.930 $ 35.72
Cleanser Towelettes, 25/Box Item#24849
3.000 each NSI 7511 N95 Exhalation Valve Disposable Respirator Masks, $ 15.260 $45.78
10/Box Item#20094
4.000 each Tec Labs®Tecnu Extreme®4 oz. Tube Poison Oak& Ivy $ 13.180 $ 52.72
Scrub Item#2657
6.000 each Value Class 2 Hi-Vis Mesh Traffic Safety Vest Item#94720 LE $ 6.300 $ 37.80
M LIME MEDIUM
10.000 each JBCTM 28"Orange, 4" &6" Reflective Collars 7 lb. Slim Body $ 18.870 $ 188.70
Traffic Cone Item#2800
Send Invoice To:
$ 506.82
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 Park Maintenance Foreman
CONTROLLER
DOCUMENT CONTROL NO. 55645 V N ID 0 IR COIF Y
INDIANA RETAIL TAX EXEMPT PAGE 2
CERTIFICATE NO.003120155 002 0
CitY O i Nei PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT
55645
35-60000972
ONE CIVIC SQUARE
CARMEL,INDIANA 4E0 32-2584 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
7/1/2021 07/05/21 25895 PNR Safety Supplies
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
GLAccount# 1125401-4239012
Send Invoice To:
$ 506.82
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 Park Maintenance Foreman
CONTROLLER
DOCUMENT CONTROL NO. 55645 VIE NOON COIPY