HomeMy WebLinkAbout28986 Grainger 0 es 1 INDIANIA RETAIL TAX EXEMPT I 1 l PAGE I
I t Ir �,j� 1= CERTIFICATE NO. 003120155 002 0 1. LF PURCHASE ORDER NUMBER I
FEDERAL EXCISE TAX EXEMPT 28986 I
35- 60000972
ONE CIVIC SQUARE THIS NUMBER I.SUST APPEAR oN tNVOICE9, ArP
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEI13, PACKING SUPS,
SHIPPING LABELS AND Ahiv CDRRESPO':DEtr'CE. I
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9 S/22/2011 M000567 3( 9510 Gloves for cleaning and safety
COkRECT DATE 9..A oti
Grainger sHIP Ma D Lt P
VENDOR kepi 5475 752 TO t SEP 2 a 2011
Pal of i ne, l L (0038
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COIJFIRtATOtT BLANKET CONTRACT PAYMENT TERMS 1 FREIGHT
1
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
20 boxes 4GC51 -XL, powder free, nitrite disposable gloves 20.03 400,60
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Send Invoice To
400.60
PLEASE INVOICE IN DUPLICATE
DEPARTMENT i ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
1125 -4 -01- 4238900 Other Maintenance Supplies PAYMENT
ArP 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 SWOFN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE I9 IN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT to PAY FOR THE ABOVE ORDER.
SHIP REPAID. Todd Snyder
C.O.D. SHIPMENTS CANNOT RE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON AU. cr SHIPPING LABELS. TITLE THIS ORDEP. ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEI:1ENTTHEREI'O. Mr
2 8986 CLERK TREASURER
DOCUMENT com ROL NO. VENDOR COPY