HomeMy WebLinkAbout30239 Northern Safety & Industrial C II B INDIANA RETAIL TAX EXEMPT PAGE
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y Carmel �,t (1.IL rme CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
li l�, V' FEDERAL EXCISE TAX EXEMPT 30239
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES. NP
CARMEL, INDIANA 46032 2584 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 110. VENDOR NO. DESCRIPTION
11/29/11 M000623 226500 Safety Vests
Northern Safety Industrial Maint #S? W
VENDOR
Po. Q250 SHIP i1 Nov 2 9 2011 L I)
UTICA, ►fy 13504 TO
C7:
CON4RMAT,ON BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION I UNIT PRICE I EXTENSION
6 EA Hi -Vis Economy Class 2 Traffic Safety Vest -OE Large $11.99 $71.94
10 EA Hi -Vis Economy Class 2 Traffic Safety Vest -OE XLarge $11.99 $119.90
7 EA Hi -Vis Economy Class 2 Traffic Safety Vest -OE 2X $11.99 $83.93
1 EA Hi -Vis Economy Class 2 Traffic Safety Vest -OE 3X $11.99 $11.99
1 EA Hi -Vis Economy Class.2.Traffid;Safety Vest -OE 4X $11.99 $11.99
1 EA Shipping $15.58 $15.58
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Send Invoice To: r 1
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$315.33
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT 1 PROJECT 1 PROJECT ACCOUNT I AMOUNT
1125 -4 -01- 4239012- Safety Supplies PAYMENT
AP VOUCHER CANNOT BE APPROV:D FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A FART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER IIAS THE PROPER SWORD AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE I5 /N UNDBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT 10 PAY FOR THE ABOVE ORDER
SHIP REPAID
•C.0.0. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Todd Snyder DK e rL. f p I/hq)l1
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
30239 CLERK TREASURER
DOCUMENT CONTROL NO. VENDOR COPY