37586 Northern Safety CompanyCity of Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAGE 1
PURCHASE ORDER NUMBER
37586
THIS NUMBER MUST APPEAR ON INVOICES. NP
VOUCHER, DELIVERY MEMO. PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE,
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
9/11/2014
09/14/14
2873
Safety and cleaning supplies
Northern Safety Co. Inc.
P.O. Box 4250
VENDOR Utica, NY 13504 -4250
SHIP
TO
Parks Maintenance
1427 E. 116th Street ATTN: Courtney
Carmel, IN 46032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
16.000 each
16.000 each
8.000 each
4.000 each
10.000 each
5.000 each
1.000 each
Send Invoice To:
17295 - Tolco 32oz. plain spray bottle
17286 - Tolco 32oz. bottle trigger
4164 - Tychem 28 "x36" splash apron
4534 - 12oz Technu poison ivy wash
26523 - Pyramex Zteck safety sunglasses
22888 - Headband earmuffs hearing protection
Shipping
GLAccount# 1125401- 4238900
PLEASE INVOICE IN DUPLICATE
$ 0.9700
$ 0.9100
$ 2.3100
$ 10.1900
$ 2.8000
$ 24.4700
$ 21.6000
EXTENSION
$ 15.52
$ 14.56
$ 18.48
$ 40.76
$ 28.00
$ 122.35
$ 21.60
$ 261.27
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT AMOUNT
1125 - LF238 qpQ
SHIPPING INSTRUCTIONS
SHIP REPAID.
C D SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
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
AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER,
ORDERED BY
TITLE
CLERK - TREASURER
DOCUMENT CONTROL NO. 37586 VENDOR COPY
Courtney Weintraut