HomeMy WebLinkAbout56117 GRAINGER INC INDIANA RETAIL TAX EXEMPT PAGE 1
0155 002 0 _
ERTIFICATE
N
0031
City of . FEDEERALRAL EXC. TAX 2 EXEMPT PURCHASE ORDER NUMBER
35-60000972
ONE CMC SQUARE
CART IEL,INDIAIJA 1R1:332-2EE a THIS
NUMBERHER, MUST PPEAR ON INV
VOICGE PS,P
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
12/06/21 27025 2 1 PNR Safety Supplies319510
Grainger Inc Parks Maintenance
Dept 847517521 1427 E. 116th Street ATTN:Audrey Cooper
VENDOR Palatine, IL 60038-0001 So P Carmel, IN 46032
CONFIRMATION BLANKETj :Oi..
PAYMENT TERMS
........ .. PAYMENT
FREIGHT
QUANTITY 1 UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION...mm._._.m
3.000 each Mechanics Gloves, 10, Mechanics, 1 PR Item#464F18 $ 16.310 $48.93
5.000 each Safety Glasses:Anti-Scratch, No Foam Lining,Wraparound $0.740 $3.70
Frame, Frameless, Clear, Clear Item#5JE26
3.000 each Replacement Ear Muff Pad Kit Item#3NKX2 $ 12.830 $38.49
1.000 each Cold Protection Gloves,XL, BI/Prl Gry, PR Item#5WUH4 $ 19.910 $19.91
3.000 each Cold Protection Gloves, L, BI/Pearl Gry, PR Item#5WUH3 $ 19.910 $59.73
GLAccount#1125401-4239012
Send Invoice To:
$ 170.76
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• AIP 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 Audrey Cooper , - r f
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE PNR Maintenance Coordinator
CONTROLLER
DOCUMENT CONTROL NO. 1704140 °"`7 VENDOR COPY