32159 GraingerCity of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
32159
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
1111812014
Safety Accessories
VENDOR
Grainger
Dept. 828999755
Palatine, IL 60038
SHIP
TO
Cannel Communication Center
31 1st Ave NW
Carmel, IN 46032
(317) 571-2576
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY I UNIT OF MEASURE
DESCRIPTION
Account 43- 560.03
2
1
1
1
1
Each
Each
Each
Each
Each
Send Invoice To:
HI Vis Vest, Class 2, 2XLr3XL Lime 101(301
High Vis vest, Class 2, UXL, lime 101(299
Jacket, Insulated 2XL, Yellow 31XK42
Jacket, Insulated XL Yellow 31X1(48
Jacket, Insulated, 3XL, Yellow 31XK43
Cannel Communication Center
31 1st Ave NW
Carmel, IN 46032-
UNIT PRICE
EXTENSION
PLEASE INVOICE IN DUPLICATE
$11.25
$1125
$93.38
$93.38
$93.38
Sub Total:
$22.50
$11.25
$93.38
$93.38
$93.38
$313.89
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
1115 Communications
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.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.
0
ORDERED BY
4�4 TITLE
PAYMENT
AMOUNT
$313.89
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
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.
r CLERK - TREASURER
DOCUMENT CONTROL NO. 32159 OFFICE COPY